Elderly patient: which vascular access? Choice and management of vascular access in the elderly patient:

Nephrology @ Point of Care

MirkoMenegolo¹ 

关键词: Arteriovenous fistula;    arteriovenous graft;    early cannulation graft;    vascular access;    elderly patients;    hemodialysis;   

DOI  :  10.1177/2059300718755625

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

The optimal vascular access for elderly patients remains a challenge due to the difficult balance between risks and benefits in a population with increased comorbidity and decreased survival. Long dependence to central vein catheter, patient comorbidities, life expectancy, and complication rates are important influencing the indications for arteriovenous fistula or an arteriovenous graft. Although central vein catheters are simpler way to start a hemodialysis treatment, elderly patients are also at higher risk of death from infection or other complications associated with them more than for younger patients. The discussion revolves around the following key questions:.

【 授权许可】

CC BY