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RSA Conference 2024
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Optimising Vascular Access for Elderly Patients

Concurrent

Concurrent

2:45 pm

13 June 2024

P9

Session 3: Concurrent 1.5

Talk Description

431Q - Research Paper

Abstract
Aim:
We aimed to evaluate the impact of various VA options on the outcomes of elderly patients undergoing HD, focusing on identifying the most effective and safe VA methods.

Method:
This study employed a comprehensive evaluation of elderly HD patients' outcomes following different VA interventions, including arteriovenous grafts (AVG) and central venous catheters (CVC), as alternatives to fistula creation. The rationale behind these interventions was the high risk of fistula failure and the potential for non-use due to patient mortality before dialysis initiation.

Result:
The findings indicated an understanding of VA efficacy in elderly HD patients, showing that while traditional fistula creation remains a gold standard, alternative VA methods like AVGs or CVCs can offer viable solutions for patients with significant comorbidities or those at a higher risk of not utilising a fistula. These alternatives demonstrated varying degrees of success.

Conclusion:
While arteriovenous fistula creation should not be disregarded for elderly patients, individualised assessments are crucial to determining the most appropriate VA option. This tailored approach could significantly enhance treatment outcomes and quality of life for elderly HD patients.

Presenters