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Arterial disease and vascular access in diabetic patients

Selcuk Baktiroglu1, Fatih Yanar1, Ibrahim H Ozata1

  • 1Istanbul Medical Faculty, General Surgery Department, Capa, Istanbul - Turkey.

The Journal of Vascular Access
|March 9, 2016
PubMed

Insights

Diabetes may not negatively impact hemodialysis access outcomes. Careful patient selection and surgical expertise can mitigate potential issues in diabetic patients undergoing vascular access procedures.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Diabetology

Background:

  • Conflicting reports exist regarding diabetes' impact on hemodialysis access outcomes.
  • Concerns stem from potential diabetes-related vascular complications affecting access procedures.

Purpose of the Study:

  • To investigate the effects of diabetes on hemodialysis vascular access outcomes.
  • To explore differences in diabetic vasculature and their influence on access procedures.

Main Methods:

  • Literature review of arterial disease in diabetes and end-stage renal disease (ESRD).
  • Analysis of studies on vascular access outcomes in diabetic versus non-diabetic patients.

Main Results:

  • Diabetic vasculature, particularly in ESRD patients, exhibits specific issues like arterial calcification and stiffening.
  • Conflicting evidence exists on whether these vascular changes negatively affect hemodialysis access outcomes.

Conclusions:

  • While some studies suggest inferior outcomes in diabetic patients, evidence indicates that careful patient selection and surgical skill can overcome challenges.
  • Management of vascular access in diabetic ESRD patients requires tailored approaches considering their unique vascular characteristics.
Abstract

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