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Please note that these are general scientific contributions to dialysis.
The contained information reflect neither the view of B. Braun nor refer to the products and methods of B. Braun. We are pleased to provide you the following information and refer at the end of each information to the websites of the authors.
 

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  • Hemodialysis catheters: Location is crucial for patency

    What role does the location of hemodialysis catheters play regarding the survival of subsequent arteriovenous fistulas?

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  • Blood pressure variability, hemodialysis and intradialytic hypertension

    It is well known that short-term blood pressure (BP) variability (BPV) is associated with increased cardiovascular risk in hemodialysis (HD), and that patients with intradialytic hypertension have an increased risk of adverse outcomes.

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  • Dialysis improves survival for elderly with kidney failure – for an initial three-year period

    Compared to younger patients, older adults with advanced chronic kidney disease experience higher morbidity and mortality and are more likely to die than to progress to kidney failure requiring renal replacement therapy.

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  • Ultrasound to predict fistula maturation

    It is a simple enough question: Could early postoperative ultrasound measurements be useful in predicting arteriovenous fistula (AVF) clinical maturation? The answer is a cautious “yes, but only for some measurements”.

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  • Epinephrine-anesthesia reduces catheter bleeding

    Patients who receive a tunneled hemodialysis catheter (THC) often experience pericatheter bleeding (PB).

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  • Fistula stenosis: Drug-eluting balloons delay restenosis

    Autogenous arteriovenous hemodialysis fistula stenosis requires angioplasty – an intervention that unfortunately is associated with rather high reintervention rates, Australian researchers pose the question: Could drug-eluting balloons improve these rates of restenosis (Swinnen JJ et al, Multicentre, randomised, blinded, control trial of drug-eluting balloon vs Sham in recurrent native dialysis fistula stenoses J Vasc Access 2018; doi: 10.1177/1129729818801556)?

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  • Inferior outcomes after second hemodialysis fistula?

    Nephrologists worldwide agree that fistulas are the preferred form of hemodialysis access.

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  • Catheters with jugular vein occlusion: alternative approaches

    A fairly high proportion of end-stage renal disease (ESRD) patients undergoing regular hemodialysis have bilateral internal jugular vein obstruction and non-functioning arteriovenous fistula/graft.

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  • Hemodialysis: Diabetes decreases catheter patency

    Hemodialysis (HD) patients for whom arteriovenous fistula formation is not recommended or in whom several attempts to create a workable arteriovenous fistula have failed often receive tunneled catheters as a permanent vascular access.

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  • Inactivity particularly damaging for hemodialysis patients

    Being physically active is beneficial for everyone, but for hemodialysis patients it is a particularly important issue, say French researchers (Souweine JS et al, Physical inactivity and protein energy wasting play independent roles in muscle weakness in maintenance haemodialysis patients.

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  • Superior vena cava stenosis in tunneled cuffed catheters

    There are two issues with superior vena cava (SVC) stenosis in patients with hemodialysis (HD) catheters: First, it may be a life-threatening complication, and second, there are currently no data available on prevalence and risk factors in HD patients.

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  • Malnutrition affects arteriovenous fistula outcome

    Hemodialysis patients who are malnourished face an additional risk for all-cause mortality, say Italian nephrologists (Spatola L et al, Subjective Global Assessment-Dialysis Malnutrition Score and arteriovenous fistula outcome: A comparison with Charlson Comorbidity Index. J Vasc Access. 2018; doi: 10.1177/1129729818779550).

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  • Hemoglobin associated with dialysis outcomes in pre-end stage renal disease

    It is a fact that incident hemodialysis patients have a high mortality risk within the first months after dialysis initiation.

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  • Vascular access in the elderly: Tradeoffs necessary

    According to guidelines on vascular access of hemodialysis patients in the United States (and elsewhere), arteriovenous fistulas (AVFs) are recommended over grafts (AVGs). However, as researchers at the University of Alabama (US) point out, these guidelines have not yet been comprehensively assessed in the elderly (Lee T et al, Tradeoffs in Vascular Access Selection in Elderly Patients Initiating Hemodialysis With a Catheter. Am J Kidney Dis. 2018; doi: 10.1053/j.ajkd.2018.03.023).

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  • 3-year patency and revision in AVF

    Patients with upper arm arteriovenous fistulas (AVF) occasionally develop high flow. In these cases, revision using distal inflow (RUDI) will lead to an effective reduction of high flow accesses (HFA) in the short-term, report Dutch surgeons (Gerrickens MWM et al, Three Year Patency and Recurrence Rates of Revision Using Distal Inflow with a Venous Interposition Graft for High Flow Brachial Artery Based Arteriovenous FistulaEur J Vasc Endovasc Surg. 2018; doi: 10.1016/j.ejvs.2018.03.014).

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