An investigation into the practice of concurrent chronic ambulatory peritoneal dialysis catheter insertion and arteriovenous fistula formation in patients needing dialysis

To review the practice of concurrent chronic ambulatory peritoneal dialysis catheter insertion and arteriovenous fistula formation in patients needing dialysis, we retrospectively assessed the results of arteriovenous fistula procedures, the risk factors for fistula failure, and the selection strate...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2000-09, Vol.6 (3), p.312-315
Main Authors: Chui, A K, Chiu, E Y, White, E A, Yumiba, T
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Arteriovenous Shunt, Surgical
Catheterization, Central Venous
Catheters
Female
Fistula
Hemodialysis
Humans
Kidney Failure, Chronic - therapy
Male
Middle Aged
Peritoneal dialysis
Peritoneal Dialysis, Continuous Ambulatory - methods
Postoperative Complications - epidemiology
Proportional Hazards Models
Renal Dialysis
Reoperation
Retrospective Studies
Risk Factors
Survival Analysis
Treatment Outcome
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Summary:To review the practice of concurrent chronic ambulatory peritoneal dialysis catheter insertion and arteriovenous fistula formation in patients needing dialysis, we retrospectively assessed the results of arteriovenous fistula procedures, the risk factors for fistula failure, and the selection strategy used to choose which patients with end-stage renal disease would be given dialysis. We analysed the medical records of 136 patients who had first-time arteriovenous fistulae created between 1 July 1986 and 1 May 1994 at a public hospital in Sydney, Australia. As many as 36% of fistulae were never used (24.5% due to primary failure) and 30.1% of the fistulae used had to be abandoned for various reasons. In addition, 22.8% of patients experienced complications, the most common being thrombosis and stenosis. None of the factors associated with fistula formation were significant in terms of fistula patency rates, but smokers and female patients had inferior fistula patency rates. Whereas the overall results were satisfactory, the practice of concurrent chronic ambulatory peritoneal dialysis catheter insertion and arteriovenous fistula formation to give vascular access for dialysis is questionable.
ISSN:1024-2708
2226-8707