Key result
Vascular access planning in incident hemodialysis patients with heart failure must be individualized, avoiding high-flow brachial AVFs and favoring catheters for severe systolic dysfunction.
Why the study?
How should vascular access for hemodialysis be selected in patients with heart failure to minimize the risk of cardiac decompensation?
Population
Incident hemodialysis patients with heart failure
Design
Review
Authors
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Supports individualized access planning in incident HD patients with HF; leaves open the need for prospective trials to guide practice.
How should vascular access for hemodialysis be selected in patients with heart failure to minimize the risk of cardiac decompensation?
This review provides a clinical framework for selecting hemodialysis access in patients with heart failure, recommending distal AV fistulas for mild HF and tunneled catheters for severe HF to avoid hemodynamic decompensation.
Ramón Roca‐Tey (2016) conducted a review in Heart failure in incident hemodialysis patients. Arteriovenous fistula (AVF) creation vs. Tunneled central catheter placement was evaluated. Vascular access planning in incident hemodialysis patients with heart failure must be individualized, avoiding high-flow brachial AVFs and favoring catheters for severe systolic dysfunction.
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