Options for end stage vascular access: Translumbar catheter, arterial-arterial access or right atrial graft?

Options for end stage vascular access: Translumbar catheter, arterial-arterial access or right atrial graft? J Vasc Access. 2019 Apr 12;:1129729819841153 Authors: Inston N, Khawaja A, Mistry H, Jones R, Valenti D Abstract BACKGROUND: Running out of vascular access for dialysis is thankfully rare, but despite this, most units will have a number of patients with few options and in a precarious state. The increasing longevity of dialysis patients portends more patients will reach minimal access options. End stage vascular access is poorly defined but classification may enable assessment and comparison of treatment options. Three options for patients with end stage access are a central venous catheter through a translumbar or transhepatic route, arterial-arterial prosthetic loop or a right atrial graft. AIMS: The aims of this study are to provide a structured review of evidence for these procedures to allow application and guide practice for patients with end stage vascular access. METHODS: A standardised search of published literature was performed of relevant studies. In addition, the references cited in those papers were assessed for any further available articles. All study types were included and reviewed by two authors independently. Primary outcomes were patient survival and secondary patency rate at 3 and 12 months. Secondary outcomes were long-term patency rates, mean time to cannulation and complications such ...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research