Upper-arm Hemodialysis Access in Sweden

J Vasc Access. 2017 Mar 6;18(Suppl. 1):110-113. doi: 10.5301/jva.5000679. Epub 2017 Mar 5.

Abstract

Aim: To provide the contemporary use of upper-arm access for hemodialysis in Sweden using data from a unique national registry for hemodialysis access.

Methods: Data were retrieved from a nation-wide registry for dialysis access in Sweden, Dialysis Access Database (DiAD) on the use and function of specific access types with a focus on upper-arm accesses.

Results: The data demonstrate an increased use of upper-arm access, likely dependent on a changing patient population, with brachiocephalic arteriovenous fistula (AVF) as the most common access type. Women received more upper-arm accesses than men. Given the recent establishment of the registry, patency and access function can at this point give preliminary data. Indications of a better function for brachiobasilic AVFs in staged procedures were observed as well as for upper-arm arteriovenous grafts (AVGs) in women.

Conclusions: Registry data support an increased use of upper-arm accesses, especially in women. The study also demonstrates the potential of a dedicated national access registry to improve access care.

MeSH terms

  • Arteriovenous Shunt, Surgical / adverse effects
  • Arteriovenous Shunt, Surgical / methods*
  • Arteriovenous Shunt, Surgical / standards
  • Female
  • Healthcare Disparities
  • Humans
  • Male
  • Quality Improvement
  • Quality Indicators, Health Care
  • Registries
  • Renal Dialysis* / standards
  • Renal Insufficiency, Chronic / diagnosis
  • Renal Insufficiency, Chronic / physiopathology
  • Renal Insufficiency, Chronic / therapy*
  • Sex Factors
  • Sweden
  • Time Factors
  • Treatment Outcome
  • Upper Extremity / blood supply*
  • Vascular Patency