dialysis (262) kidney (242) graft (59) catheter (59) hemodialysis (45) fistula (27) esrd (24) surveilance (16) vascular access (11) information based medicine (3)
Vasc-Alert tracks increased pressure as stenosis develops
Random Controlled Study Indicates Benefit to Early Intervention
A recent random controlled study demonstrates that intervention in an access with >50% stenosis is beneficial even in accesses that have adequate blood flow and no other clinical indicators of dysfunction (persistent cannulation issues, excessive bleeding post treatment, spKt/V<1.2 or decreased blood flow due to high pressures during treatment). This is proven out by a greater than 2-fold increase in AVF access survival after 5 years (30% vs 72%), and a 3-fold decrease in access loss rate (0.186 vs 0.066).