Program Book - Keck School of Medicine of USC - University of ...
Program Book - Keck School of Medicine of USC - University of ...
Program Book - Keck School of Medicine of USC - University of ...
- No tags were found...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Lower Extremity Dialysis AccessOther Options?HeRO (Hemodialysis Reliable Outflow)Limited data• Outcomes Comparison <strong>of</strong> HeRO and Lower-Extremity ArteriovenousGraft in Patients with Long-Standing Renal Failure Steerman, et al JVS 2012(SVS abstract)62 HeRO and 23 thigh AVGsPrimary patency 1 year 26% vs. 60% (HeRO vs. AVG) (0.01)Secondary patency 1 year 61% vs. 66% (0.56)Similar infection rates (30%) and mortality (20-30%)Reinterventions 6.2 per year in HeRO and 3.7 in AVGEarly information, but not promising for HeROLower Extremity Dialysis AccessOther Options?long-term catheters ? – NO!Lower Extremity Dialysis AccessSummary:Lower extremity access is an important option in dialysis accessPatency rates are good to excellent when performed appropriatelyTransposed femoral vein is best AVF –select in younger patients without PADwatch for ischemiabeware <strong>of</strong> high rate <strong>of</strong> wound complicationsAVG option for others –watch for infections55
Change language