Vascular access for dialysis in the elderly.
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.
Ponce
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Renal Service, Hospital Garcia de Orta, Almada, Portugal.
D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D002408:Catheters, Indwelling; D005542:Forearm / Q000098:blood supply*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D006435:Renal Dialysis / Q000295:instrumentation