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Vascular access for dialysis in the elderly
1Renal Service, Hospital Garcia de Orta, Almada, Portugal.
International Urology and Nephrology
|September 17, 2002
Abstract:
Although not taken in consideration as a special issue in current guidelines, vascular access in the elderly deserve specific recommendations as they are quickly enlarging as a group, with particularly high vascular access morbidity and failure rate. Hemodynamic and endothelial mechanisms of access failure are reviewed and tentative strategies to increase the prevalence of durable native arteriovenous fistulas are analysed.