Severe hemodialysis access-induced distal ischemia may be associated with poor survival

Background: Some hemodialysis patients develop hemodialysis access-induced distal ischemia due to insufficient loco-regional perfusion pressure and consequent poor arterial flow. We hypothesized that patients with severe hemodialysis access-induced distal ischemia had worse survival compared with pa...

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Bibliographic Details
Published in:The journal of vascular access 2021-03, Vol.22 (2), p.194-202
Main Authors: Gerrickens, Michael W M, Yadav, Reshabh, Wouda, Rosanne, Beerenhout, Charles H, Scheltinga, Marc R M
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arteriovenous Shunt, Surgical - adverse effects
Arteriovenous Shunt, Surgical - mortality
Female
Hemodynamics
Humans
Ischemia - etiology
Ischemia - mortality
Ischemia - physiopathology
Male
Middle Aged
Regional Blood Flow
Renal Dialysis
Retrospective Studies
Risk Assessment
Risk Factors
Severity of Illness Index
Time Factors
Treatment Outcome
Upper Extremity - blood supply
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Summary:Background: Some hemodialysis patients develop hemodialysis access-induced distal ischemia due to insufficient loco-regional perfusion pressure and consequent poor arterial flow. We hypothesized that patients with severe hemodialysis access-induced distal ischemia had worse survival compared with patients with mild or no hemodialysis access-induced distal ischemia. Methods: This single-center retrospective observational cohort study included three groups of prevalent hemodialysis patients with an upper extremity vascular access between 2006 and 2018. Symptomatic patients had signs and symptoms of hemodialysis access-induced distal ischemia and low digital brachial indices (
ISSN:1129-7298
1724-6032
DOI:10.1177/1129729820933456