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Vascular access thrombosis in France: incidence and treatment patterns

Nirvana Sadaghianloo1, Elixène Jean-Baptiste1, Mohammed S Islam2

  • 1Department of Vascular Surgery, University Hospital of Nice, Nice, France; University of Nice-Sophia Antipolis, Nice, France.

Annals of Vascular Surgery
|May 26, 2015
PubMed

Insights

Vascular access thrombosis rates in France are low and unaffected by surveillance methods. Most patients with thrombosis receive prompt treatment from vascular surgeons or interventional radiologists.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Vascular access thrombosis is a common complication in hemodialysis patients.
  • There is a lack of standardized treatment algorithms for vascular access thrombosis.
  • Understanding current practice patterns is crucial for improving patient outcomes.

Purpose of the Study:

  • To assess the incidence of vascular access thrombosis in France.
  • To evaluate surveillance protocols and treatment practices for vascular access thrombosis.
  • To determine the time to treatment for vascular access thrombosis.

Main Methods:

  • A nationwide survey of nephrologists in French hemodialysis centers was conducted in April 2013.
  • The survey included 266 out of 269 centers, covering 27,798 patients with arteriovenous fistulas or grafts.
  • Data on incidence, surveillance, treatment referral, and time to treatment were collected.

Main Results:

  • The incidence of vascular access thrombosis was 8.8% in surveyed centers, with a mean incidence of 8.4% in others.
  • Surveillance using in-line access flow monitoring showed no significant difference in outcome compared to Doppler ultrasound.
  • 53% of centers referred patients to vascular surgeons, and 32% to interventional radiologists, with timely treatment (<48 hours) achieved in 91% of cases.

Conclusions:

  • Vascular access thrombosis rates in France are low and not significantly influenced by the type of surveillance protocol used.
  • Most patients with vascular access thrombosis receive timely treatment, primarily from vascular surgeons or interventional radiologists.
  • Current practices indicate effective management of vascular access thrombosis in the French healthcare system.
Abstract

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