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Journal ClubThomas Vesely, MD
www.vasamd.org
TLPP = Target lesion primary patency
TLSP = Target lesion secondary patency
aPP = Access circuit primary patency
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Fistulas Grafts
38%
42%25%
18%
35%
25%
16%
2%
In conclusion, Fistula First does not seem to be clearly superior to graftplacement in the elderly because each strategy is associated withsimilar mortality outcomes in octogenarians and nonagenarians.
80 ‐ 89 years old > 90 years old
In conclusion, the type of vascular access has a significant influence on the
survival of very elderly patients ( ≥ 75) initiating HD. CVC use was
associated with poorer survival compared to AV access.
CLABSI = 1.27 per 1000 catheter‐days
Surgical site infections = 1.98 per 100 procedures
SNP = single nucleotide polymorphisms
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