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Original Paper

Initial Hemodialysis with a Temporary Catheter Is Associated with Complications of a Later Permanent Vascular Access

Zhu M. · Zhang W. · Zhou W. · Zhou Y. · Fang Y. · Wang Y. · Zhang H. · Yan Y. · Ni Z. · Qian J.

Author affiliations

Renal Division, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 02, 2013
Accepted: February 02, 2014
Published online: April 03, 2014
Issue release date: May 2014

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 0253-5068 (Print)
eISSN: 1421-9735 (Online)

For additional information: http://www.karger.com/BPU

Abstract

The aim was to identify the risk factors of long-term vascular access complications. The study cohort consisted of 239 incident hemodialysis (HD) patients from 1998 to 2010 in a single center. Among these patients, 59.8% had initially been dialyzing with a temporary catheter. Within 3 months after starting dialysis, all catheters had been converted into permanent accesses. 45 patients incurred long-term access complications after the first 2 years of dialysis, and 34 (75.6%) had used a temporary catheter starting HD. Complication occurrence was associated with age, initiation dialysis with a catheter and heart failure by logistic regression (odds ratios were 1.04, 2.77 and 2.23, respectively; p < 0.05). The 2-year primary patency rates of arteriovenous fistulae were significantly higher than those of arteriovenous grafts (79.5 vs. 50%, p = 0.002). We concluded that age, using a catheter and heart failure in HD initiation had a strong impact on long-term access complications.

© 2014 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 02, 2013
Accepted: February 02, 2014
Published online: April 03, 2014
Issue release date: May 2014

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 0253-5068 (Print)
eISSN: 1421-9735 (Online)

For additional information: http://www.karger.com/BPU


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