PDF herunterladen
Semin intervent Radiol 2009; 26(2): 096-105
DOI: 10.1055/s-0029-1222452
© Thieme Medical Publishers

Dialysis Access in Europe and North America: Are We on the Same Path?

Maurizio Gallieni1 , 2 , Ramesh Saxena3 , Ingemar Davidson4
  • 1Nephrology and Dialysis Unit, S. Paolo Hospital, Milan, Italy
  • 2Department of Medicine, Surgery, and Dentistry, University of Milano, Italy
  • 3Division of Nephrology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
  • 4Division of Transplant, Department of Surgery, Parkland Memorial Hospital, University of Texas Southwestern Medical Center, Dallas, Texas
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
29. Juni 2009 (online)

Auch verfügbar auf
    Lizenzen und Reprints

ABSTRACT

Large differences in dialysis access exist between Europe, Canada, and the United States, even after adjustment for patient characteristics. Vascular access care is characterized by similar issues, but with a different magnitude. Obesity, type 2 diabetes, and peripheral vascular disease, independent predictors of central venous catheter use, are growing problems globally, which could lead to more difficulties in native arteriovenous fistula placement and survival. Creation of dedicated dialysis access teams, including a vascular access coordinator, is a fundamental step in improving vascular access care; however, it might not be sufficient. The possibility that factors other than patient characteristics and surgical skills are important in determining outcomes is likely; it might explain apparent contradictions of end-stage renal disease (ESRD) practices (kidney transplant, peritoneal dialysis, patterns of vascular access use in hemodialysis), where some countries excel in one area and score poorly in another. We are on the same path, but we have a long way to go.

KEYWORDS

Arteriovenous fistula - hemodialysis - vascular access - catheter - graft

REFERENCES

  • 1 Ethier J, Mendelssohn D C, Elder S J et al.. Vascular access use and outcomes: an international perspective from the Dialysis Outcomes and Practice Patterns Study.  Nephrol Dial Transplant. 2008;  23(10) 3219-3226
    CrossrefPubMedGoogle Scholar
  • 2 Finelli L, Miller J T, Tokars J I, Alter M J, Arduino M J. National surveillance of dialysis-associated diseases in the United States, 2002.  Semin Dial. 2005;  18(1) 52-61
    CrossrefPubMedGoogle Scholar
  • 3 Pisoni R L, Young E W, Dykstra D M et al.. Vascular access use in Europe and the United States: results from the DOPPS.  Kidney Int. 2002;  61(1) 305-316
    CrossrefPubMedGoogle Scholar
  • 4 Rayner H C, Pisoni R L, Bommer J et al.. Mortality and hospitalization in haemodialysis patients in five European countries: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS).  Nephrol Dial Transplant. 2004;  19(1) 108-120
    CrossrefPubMedGoogle Scholar
  • 5 Dialysis and Transplant Italian Registry—RIDT .Available at: http://www.sin-ridt.org/sin-ridt.org.htm Accessed January 18, 2009
  • 6 Registry ERA-EDTA. ERA-EDTA Registry 2006 Annual Report. Amsterdam; The Netherlands, Academic Medical Center, Department of Medical Informatics; 2008 Available at: http://www.era-edta-reg.org/index.jsp?p=annrep Accessed January 18, 2009
    Google Scholar
  • 7 2006 United States Renal Data System (USRDS) Annual Data Report. Available at: http://www.usrds.org/2006/ref/L_vasc_access_06.pdf Accessed January 18, 2009
    Google Scholar
  • 8 Rajagopalan S, Dellegrottaglie S, Furniss A L et al.. Peripheral arterial disease in patients with end-stage renal disease: observations from the Dialysis Outcomes and Practice Patterns Study (DOPPS).  Circulation. 2006;  114(18) 1914-1922
    CrossrefPubMedGoogle Scholar
  • 9 Fistula First National Vascular Access Improvements Initiative .Available at: http://www.fistulafirst.org/ Accessed January 19, 2009
  • 10 The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Dialysis Access Clinical Trials Consortium .Available at: http://www.niddk.nih.gov/patient/dac/DAC.htm Accessed January 20, 2009
  • 11 2006 United States Renal Data System (USRDS) Annual Data Report. Available at: http://www.usrds.org/2006/ref/L_vasc_access_06.pdf Accessed January 18, 2009
    Google Scholar
  • 12 Berardinelli L. The endless history of vascular access: a surgeon's perspective.  J Vasc Access. 2006;  7(3) 103-111
    PubMedGoogle Scholar
  • 13 Bacchini G, La Milia V, Andrulli S, Locatelli F. Color Doppler ultrasonography percutaneous transluminal angioplasty of vascular access grafts.  J Vasc Access. 2007;  8(2) 81-85
    PubMedGoogle Scholar
  • 14 Mendelssohn D C, Ethier J, Elder S J, Saran R, Port F K, Pisoni R L. Haemodialysis vascular access problems in Canada: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS II).  Nephrol Dial Transplant. 2006;  21(3) 721-728
    CrossrefPubMedGoogle Scholar
  • 15 Graham J, Hiremath S, Magner P O, Knoll G A, Burns K D. Factors influencing the prevalence of central venous catheter use in a Canadian haemodialysis centre.  Nephrol Dial Transplant. 2008;  23(11) 3585-3591
    CrossrefPubMedGoogle Scholar
  • 16 Ljungström K G, Troëng T, Björck M. Time-trends in vascular access surgery in Sweden 1987-2006.  Eur J Vasc Endovasc Surg. 2008;  36(5) 592-596
    CrossrefPubMedGoogle Scholar
  • 17 Lok C E. Fistula first initiative: advantages and pitfalls.  Clin J Am Soc Nephrol. 2007;  2(5) 1043-1053
    CrossrefPubMedGoogle Scholar
  • 18 Huijbregts H J, Bots M L, Moll F L, Blankestijn P J. CIMINO Members . Accelerated increase of arteriovenous fistula use in haemodialysis centres: results of the multicentre CIMINO initiative.  Nephrol Dial Transplant. 2007;  22(9) 2595-2600
    CrossrefPubMedGoogle Scholar
  • 19 Davidson I J, Gallieni M, Saxena R, Dolmatch B. A patient centered decision making dialysis access algorithm.  J Vasc Access. 2007;  8(2) 59-68
    PubMedGoogle Scholar
  • 20 Golper T. Patient education: can it maximize the success of therapy?.  Nephrol Dial Transplant. 2001;  16(suppl 7) 20-24
    PubMedGoogle Scholar
  • 21 Davidson I JA. Access clinic, access decisions and multi-disciplinary care our patients deserve.  J Vasc Access. 2006;  7 235-238
    PubMedGoogle Scholar
  • 22 Astor B C, Eustace J A, Powe N R et al.. Timing of nephrologist referral and arteriovenous access use: the CHOICE Study.  Am J Kidney Dis. 2001;  38(3) 494-501
    CrossrefPubMedGoogle Scholar
  • 23 National Kidney Foundation . K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification.  Am J Kidney Dis. 2002;  39(2, Suppl 1) S1-S266
    CrossrefPubMedGoogle Scholar
  • 24 Bourquelot P. Vascular access in children: the importance of microsurgery for creation of autologous arteriovenous fistulae.  Eur J Vasc Endovasc Surg. 2006;  32(6) 696-700
    CrossrefPubMedGoogle Scholar
  • 25 Bourquelot P, Cussenot O, Corbi P et al.. Microsurgical creation and follow-up of arteriovenous fistulae for chronic haemodialysis in children.  Pediatr Nephrol. 1990;  4(2) 156-159
    CrossrefPubMedGoogle Scholar
  • 26 Davidson I J, Chan D, Dolmatch B et al.. Duplex ultrasound evaluation for dialysis access selection and maintenance: a practical guide.  J Vasc Access. 2008;  9(1) 1-9
    PubMedGoogle Scholar
  • 27 Tessitore N, Bedogna V, Poli A. The role of surveillance in mature arteriovenous fistula management.  J Vasc Access. 2004;  5(2) 57-61
    PubMedGoogle Scholar
  • 28 Tessitore N, Bedogna V, Poli A et al.. Adding access blood flow surveillance to clinical monitoring reduces thrombosis rates and costs, and improves fistula patency in the short term: a controlled cohort study.  Nephrol Dial Transplant. 2008;  23(11) 3578-3584
    CrossrefPubMedGoogle Scholar
  • 29 Davidson I. Access clinic. Access decisions and the multi-disciplinary care our patients deserve [abstract].  J Vasc Access. 2006;  7(4) 235-238
    PubMedGoogle Scholar
  • 30 Becker B N, Breiterman-White R, Nylander W et al.. Care pathway reduces hospitalizations and cost for hemodialysis vascular access surgery.  Am J Kidney Dis. 1997;  30(4) 525-531
    CrossrefPubMedGoogle Scholar
  • 31 Allon M, Bailey R, Ballard R et al.. A multidisciplinary approach to hemodialysis access: prospective evaluation.  Kidney Int. 1998;  53(2) 473-479
    CrossrefPubMedGoogle Scholar
  • 32 Flu H, Breslau P J, Krol-van Straaten J M, Hamming J F, Lardenoye J W. The effect of implementation of an optimized care protocol on the outcome of arteriovenous hemodialysis access surgery.  J Vasc Surg. 2008;  48(3) 659-668
    CrossrefPubMedGoogle Scholar
  • 33 Polkinghorne K R, Seneviratne M, Kerr P G. Effect of a vascular access nurse coordinator to reduce central venous catheter use in incident hemodialysis patients: a quality improvement report.  Am J Kidney Dis. 2009;  53(1) 99-106
    CrossrefPubMedGoogle Scholar
  • 34 Saran R, Elder S J, Goodkin D A et al.. Enhanced training in vascular access creation predicts arteriovenous fistula placement and patency in hemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study.  Ann Surg. 2008;  247(5) 885-891
    CrossrefPubMedGoogle Scholar
  • 35 Rayner H C, Pisoni R L, Gillespie B W Dialysis Outcomes and Practice Patterns Study et al. Creation, cannulation and survival of arteriovenous fistulae: data from the Dialysis Outcomes and Practice Patterns Study.  Kidney Int. 2003;  63(1) 323-330
    CrossrefPubMedGoogle Scholar
  • 36 Verhallen A M, Kooistra M P, van Jaarsveld B C. Cannulating in haemodialysis: rope-ladder or buttonhole technique?.  Nephrol Dial Transplant. 2007;  22(9) 2601-2604
    CrossrefPubMedGoogle Scholar
  • 37 Doss S, Schiller B, Moran J. Buttonhole cannulation—an unexpected outcome.  Nephrol Nurs J. 2008;  35(4) 417-419
    PubMedGoogle Scholar
  • 38 Ferrero S, Argentero P, Saltarelli M. Vascular Access Regional Group . Vascular access related infections in the Piedmontees Dialysis centres.  , (Abstract) J Vasc Access. 2009;  10(1) 72
    PubMedGoogle Scholar
  • 39 Dember L M, Beck G J, Allon M Dialysis Access Consortium Study Group et al. Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: a randomized controlled trial.  JAMA. 2008;  299(18) 2164-2171
    CrossrefPubMedGoogle Scholar
  • 40 Chemla E S, Morsy M. A European perspective on the Dialysis Access Consortium (DAC) Study regarding the effects of clopidogrel on early failure of arteriovenous fistulas for hemodialysis.  J Vasc Access. 2008;  9(4) 229-230
    PubMedGoogle Scholar

Maurizio GallieniM.D. 

Department of Medicine, Surgery, and Dentistry, University of Milano

Via di Rudini, 8, 20142 Milano, Italy

eMail: maurizio.gallieni@unimi.it