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A practical approach to vascular access for hemodialysis and predictors of success  Peter G. Kalman, MD, Mark Pope, MD, Cyndi Bhola, RN, Robert Richardson,

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Presentation on theme: "A practical approach to vascular access for hemodialysis and predictors of success  Peter G. Kalman, MD, Mark Pope, MD, Cyndi Bhola, RN, Robert Richardson,"— Presentation transcript:

1 A practical approach to vascular access for hemodialysis and predictors of success 
Peter G. Kalman, MD, Mark Pope, MD, Cyndi Bhola, RN, Robert Richardson, MD, Kenneth W. Sniderman, MD  Journal of Vascular Surgery  Volume 30, Issue 4, Pages (October 1999) DOI: /S (99) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Cumulative primary (12 months, n = 162; 24 months, n = 53), primary-assisted (12 months, n = 162; 24 months, n = 55), and secondary success (patent and effective dialysis; 12 months, n = 162; 24 months, n = 72) for all 466 vascular access procedures combined (only data with an SE less than 10% are shown). Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Cumulative primary success for arteriovenous fistulae (12 months, n = 90; 24 months, n = 40) vs arteriovenous grafts (12 months, n = 72; 24 months, n = 15; only data with an SE less than 10% are shown). Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Cumulative primary-assisted success for arteriovenous fistulae (12 months, n = 90; 24 months, n = 47) vs arteriovenous grafts (12 months, n = 72; 24 months, n = 17; only data with an SE less than 10% are shown). Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Comparison of primary success for the various types of vascular access procedures performed: AVF-U (12 months, n = 37; 24 months, n = 23), AVF-L (12 months, n = 54; 24 months, n = 23), AVG-U,S (12 months, n = 18; 24 months, n = 6), AVG-Lp (12 months, n = 20; 24 months, n = 5), AVG-S (12 months, n = 37; 24 months, n = 4). AVF, arteriovenous fistula, autogenous; AVG, arteriovenous graft, prosthetic; U, upper arm; L, lower arm; Lp, loop graft; S, straight graft (only data with an SE less than 10% are shown). Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Multivariate model (Cox regression), in which access type (arteriovenous fistulae vs arteriovenous grafts; P = .001) and presence or absence of diabetes mellitus (P = .024) predict primary success. The four combinations of the two variables (P = .001) and 2-year success are shown: AVF-No DM (49% ± 2%), AVF-DM (37% ± 2%), AVG-No DM (30% ± 3%), AVG-DM (19% ± 3%). AVF, arteriovenous fistula, autogenous; AVG, arteriovenous graft, prosthetic; DM, diabetes mellitus (only data with an SE less than 10% are shown). Journal of Vascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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