Michael A. Curi, MD, MPA, Peter J. Pappas, MD, Michael B

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Presentation transcript:

Hemodialysis access: Influence of the human immunodeficiency virus on patency and infection rates Michael A. Curi, MD, MPA, Peter J. Pappas, MD, Michael B. Silva, MD, Sunil Patel, MD, Frank T. Padberg, MD, Zafar Jamil, MD, Walter N. Durán, PhD, Robert W. Hobson, MD Journal of Vascular Surgery Volume 29, Issue 4, Pages 608-616 (April 1999) DOI: 10.1016/S0741-5214(99)70305-8 Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 1 Infection rates for prosthetic bridging grafts in patients who were HIV+ versus HIV– show increased infection rates in patients who were HIV+. Journal of Vascular Surgery 1999 29, 608-616DOI: (10.1016/S0741-5214(99)70305-8) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 2 Incidence rates of graft infection as a function of intravenous drug abuse history. Journal of Vascular Surgery 1999 29, 608-616DOI: (10.1016/S0741-5214(99)70305-8) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 3 Cumulative primary patency rates of prosthetic grafts in patients who were HIV+ versus HIV–. Prosthetic graft patency rates in patients who were HIV– were significantly higher than in patients who were HIV+ (P ≤.05). Journal of Vascular Surgery 1999 29, 608-616DOI: (10.1016/S0741-5214(99)70305-8) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 4 Cumulative primary patency rates of autologous arteriovenous fistulae in patients who were HIV+ versus HIV–. Differences in patency rates between the two groups were not significant. Journal of Vascular Surgery 1999 29, 608-616DOI: (10.1016/S0741-5214(99)70305-8) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 5 Cumulative primary patency rates of autologous arteriovenous fistulae versus prosthetic grafts in patients who were HIV+. Patency rates between arteriovenous fistulae and prosthetic bridging grafts differed significantly (P ≤ .001). Journal of Vascular Surgery 1999 29, 608-616DOI: (10.1016/S0741-5214(99)70305-8) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions