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Daily dialysis and survival rates of vascular access
Author(s) -
Rondini L.,
Marilena L.,
Pasticci F.,
Quintaliani G.,
Reboldi G.,
Buoncristiani U.
Publication year - 2000
Publication title -
edtna‐erca journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1019-083X
DOI - 10.1111/j.1755-6686.2000.tb00101.x
Subject(s) - medicine , dialysis , vascular access , occlusion , arteriovenous fistula , hemodialysis , incidence (geometry) , vascular occlusion , cardiology , surgery , physics , optics
Summary A major cause of morbidity for haemodialysis patients is vascular access failure and/or occlusion. It is commonly believed that increased frequency of dialysis sessions, among other factors, might lead to higher rates of fistula complications. To evaluate if patients on daily haemodialysis carry a higher risk of vascular access occlusion, we examined the raw incidence rate of access occlusion and the survival function of native vascular access in patients undergoing daily dialysis (DD ‐ N. =24) as compared to patients on standard three times a week haemodialysis (TWD‐N. =198). The number of thrombotic events in the first group was 2 (8%) whereas in the second group we observed 76 (38%) access problems (8%) (p<0.008). The mean vascular access survival before occlusion was 1307 days in TWD and 1388 days in DD. Our data clearly shows that daily dialysis should not be considered a risk factor for access occlusion.