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Journal of Vascular Access 2001; 2: 110 - 113
The effect of age on radiocephalic fistula patency
C.G. Burt1, J.A. Little2, D.A. Mosquera1


1Department of Vascular Surgery, Birmingham Heartlands Hospital - United Kingdom
2Department of Renal Medicine, Birmingham Heartlands Hospital - United Kingdom
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C.G. Burt
J.A. Little
D.A. Mosquera
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ABSTRACT
Background:Inferior patency rates for radiocephalic fistulae in the elderly have been reported and may explain the increasing use of prosthetic grafts for vascular access. The aim of this study was to assess whether the patency rates of primary radiocephalic fistulae are affected by age. Methods:A retrospective casenote review of 53 consecutive patients undergoing primary fistula formation between
1995 and 1998 under the care of a single consultant vascular surgeon. The setting was a specialist vascular surgical unit where the protocol is to offer all new patients a radiocephalic fistula. Fistula patency was defined as successful use for dialysis.
Results:Cumulative patency rates at 2 years were 60% in patients over 60 years (n=27), and 53% in patients under 60 years (n=26). The higher patency rates in the older age group were not significant on log rank testing (p=0.39). Conclusion:Age over 60 years did not influence patency rates of primary radiocephalic fistulae, which should remain the haemodialysis access procedure of choice at all ages. (The Journal of Vascular Access 2001; 2: 110-113)

Key Words. Arteriovenous fistula, Elderly, Hemodialysis, Vascular access

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REFERENCES



The Journal of Vascular Access - published and copyrighted by Wichtig Editore - Milano (Italy)
Autorizzazione n. 788 del 16.12.1999 reg. tribunale di Milano - Direttore Responsabile Diego Brancaccio - ISSN 1724-6032