Effective arteriovenous fistula alternative for hemodialysis access.

Authors

Jacentha Buggs
Adam Tanious
Victor Camba
Christopher Albertson
Ebonie Rogers
Dylan Lahiff
Talha Rashid, Lehigh Valley Health Network
John Leone
Heidi Pearson
James Huang
Ambuj Kumar
Victor Bowers

Publication/Presentation Date

12-1-2018

Abstract

BACKGROUND: The use of autologous arteriovenous fistulae (AVF) for hemodialysis (HD) is the gold standard; however, for many patients at tertiary referral centers, this is not an option.

METHODS: We conducted a four year retrospective cohort study to evaluate HD access outcomes with AVF, bovine carotid artery (BCA), and polytetrafluoroethylene arteriovenous graft (PTFE).

RESULTS: The study contained 416 AVF, 175 BCA, and 58 PTFE, N = 649. There was statistical difference between rates of infection (AVF 3.4%, BCA 2.9%, PTFE 11.9%), P = 0.02. Maturation failed in 7.5% of AVF but in none of the BCA or PTFE (P = 0.001). Accesses were abandoned with AVF (1.9%), BCA (1.5%), and PTFE (9.5%), P = 0.01.

CONCLUSION: Bovine carotid artery can be an effective alternative form of HD access with lower infection, abandonment, and failure to maturation rates when autologous arteriovenous fistula is not an option.

Volume

216

Issue

6

First Page

1144

Last Page

1147

ISSN

1879-1883

Published In/Presented At

Buggs, J., Tanious, A., Camba, V., Albertson, C., Rogers, E., Lahiff, D., Rashid, T., Leone, J., Pearson, H., Huang, J., Kumar, A., & Bowers, V. (2018). Effective arteriovenous fistula alternative for hemodialysis access. American journal of surgery, 216(6), 1144–1147. https://doi.org/10.1016/j.amjsurg.2018.08.004

Disciplines

Medical Education | Medicine and Health Sciences

PubMedID

30146087

Department(s)

USF-LVHN SELECT Program, USF-LVHN SELECT Program Students

Document Type

Article