The risks of vascular access.

Abstract:

:Fatal vascular access hemorrhage is considered a rare complication of hemodialysis (HD). Ellingson et al. indicate otherwise, and their data suggest that it causes 0.4-1.6% of deaths in US HD patients. It is more common with grafts than fistulas, and many victims have had previous access hemorrhages. The widespread presumption that a fistula is the best, and a cuffed catheter the worst, access for HD patients needs reassessment, particularly in older, sicker patients.

journal_name

Kidney Int

journal_title

Kidney international

authors

Blake PG,Quinn RR,Oliver MJ

doi

10.1038/ki.2012.181

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

623-5

issue

6

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)55611-1

journal_volume

82

pub_type

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