CARI-Australia
2000
|
A
native AV-fistula should be preferred to a graft |
Vascular access
9. Choice of type of access |
Evidence level B
PTFE is the preferred material for a graft
Graft configuration is not a factor influencing patency |
CSN-Canada
1999 |
• AV-fistula should be
preferred
• If a fistula is not possible an AV-graft should be constructed
• A permanent central vein catheter should be used only in
patients with high risk for limb ischemia and unsuitable for PD |
Guideline 3.1 Planning for vascular access
p 11 of 35 PDF pages
|
Evidence level II |
|
EBPG-Europe |
|
|
|
KDOQI-US
2001 |
• Order of preference
for AV-fistula is: 1) wrist; 2) elbow
• If AV-fistula not possible, the next choice is: 1) AV-graft
(e.g. PTFE), or 2) A transposed brachial basilic vein
• Cuffed tunnelled central vein catheters should be discouraged
as permanent vascular access |
Guideline 3: Selection of permanent vascular access and order of preference |
For: 1) Evidence; 2)
Evidence/opinion
Evidence
Evidence |
UK-Guidelines
2002 |
• At least 67% of
patients presenting within 3 months of dialysis should start
hemodialysis on an AV-fistula
• At least 80% of prevalent hemodialysis patients should be
dialysed on a native AV-fistula |
3. Hemodialysis: clinical standards and targets
p 68 of 204 website PDF pages
|
Good practice
Al dialysis units should collect data on infection of grafts
and catheters
Good practice |
