Journal ClubThomas Vesely, MD

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TLPP = Target lesion primary patency

TLSP = Target lesion secondary patency

aPP = Access circuit primary patency

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Fistulas Grafts

38%

42%25%

18%

35%

25%

16%

2%

In conclusion, Fistula First does not seem to be clearly superior to graftplacement in the elderly because each strategy is associated withsimilar mortality outcomes in octogenarians and nonagenarians.

80 ‐ 89 years old > 90 years old

In conclusion, the type of vascular access has a significant influence on the

survival of very elderly patients ( ≥ 75) initiating HD. CVC use was

associated with poorer survival compared to AV access.

CLABSI = 1.27 per 1000 catheter‐days

Surgical site infections = 1.98 per 100 procedures

SNP = single nucleotide polymorphisms

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