Arteriovenous Fistula Versus Graft Access Strategy in Older Adults Receiving Hemodialysis: A Pilot Randomized Trial.

ABSTRACT:

Background

It is unclear whether surgical placement of an arteriovenous (AV) fistula (AVF) confers substantial clinical benefits over an AV graft (AVG) in older adults with end-stage kidney disease (ESKD). We report vascular access outcomes of a pilot clinical trial.

Study design

Pilot randomized parallel-group open-label trial.

Setting & participants

Patients 65 years and older with ESKD and no prior AV access receiving maintenance hemodialysis through a tunneled central venous catheter referred for AV access placement by their treating nephrologist.

Intervention

Participants were randomly assigned in a 1:1 ratio to surgical placement of an AVG or AVF.

Outcomes

Index AV access primary failure, successful cannulation, adjuvant interventions and infection

SUBMITTER: Robinson T 

PROVIDER: S-EPMC8039401 | biostudies-literature | 2021 Mar-Apr

REPOSITORIES: biostudies-literature