Association of Vascular Access & InTerventionAl Renal Physicians

April 2014
Dr. Vinant

Dr. Vinant Bhargava

Consultant Nephrologist
   Sir Gangaram Hospital,
   New Delhi

Recent posts

Hemodialysis Catheter Design and Catheter ...
Read More
Initial Hemodialysis with a Temporary Cath...
Read More
Evaluation of post-puncture bleeding time ...
Read More
Systemic effects of a high-flow arterioven...
Read More
Should current criteria for detecting and ...
Read More

Initial Hemodialysis with a Temporary Catheter Is Associated with Complications of a Later Permanent Vascular Access


The aim was to identify the risk factors of long-term vascular access complications. The study cohort consisted of 239 incident hemodialysis (HD) patients from 1998 to 2010 in a single center. Among these patients, 59.8% had initially been dialyzing with a temporary catheter. Within 3 months after starting dialysis, all catheters had been converted into permanent accesses. 45 patients incurred long-term access complications after the first 2 years of dialysis, and 34 (75.6%) had used a temporary catheter starting HD. Complication occurrence was associated with age, initiation dialysis with a catheter and heart failure by logistic regression (odds ratios were 1.04, 2.77 and 2.23, respectively; p < 0.05). The 2-year primary patency rates of arteriovenous fistulae were significantly higher than those of arteriovenous grafts (79.5 vs. 50%, p = 0.002). We concluded that age, using a catheter and heart failure in HD initiation had a strong impact on long-term access complications. © 2014 S. Karger AG, Basel

Read complete article here