The risks of vascular access.
Level V
Where this comes from
- Record sourced from PubMed, PMID 22935880.
- Also identified by DOI 10.1038/ki.2012.181.
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Abstract
Fatal vascular access hemorrhage is considered a rare complication of hemodialysis (HD). Ellingson et al. indicate otherwise, and their data suggest that it causes 0.4-1.6% of deaths in US HD patients. It is more common with grafts than fistulas, and many victims have had previous access hemorrhages. The widespread presumption that a fistula is the best, and a cuffed catheter the worst, access for HD patients needs reassessment, particularly in older, sicker patients.
Medical subject headings
- Arteriovenous Shunt, Surgical
- Catheterization, Central Venous
- Hemorrhage
- Renal Dialysis