Title |
Immediate access arteriovenous grafts versus tunnelled central venous catheters: study protocol for a randomised controlled trial
|
---|---|
Published in |
Trials, February 2015
|
DOI | 10.1186/s13063-015-0556-x |
Pubmed ID | |
Authors |
Emma Aitken, Colin Geddes, Pete Thomson, Ram Kasthuri, Mohan Chandramohan, Colin Berry, David Kingsmore |
Abstract |
Autologous arteriovenous fistulae (AVF) are the optimal form of vascular access for haemodialysis. AVFs typically require 6 to 8 weeks to "mature" from the time of surgery before they can be cannulated. Patients with end-stage renal disease needing urgent vascular access therefore traditionally require insertion of a tunnelled central venous catheter (TCVC). TCVCs are associated with high infection rates and central venous stenosis. Early cannulation synthetic arteriovenous grafts (ecAVG) provide a novel alternative to TCVCs, permitting rapid access to the bloodstream and immediate needling for haemodialysis. Published rates of infection in small series are low. The aim of this study is to compare whether TCVC ± AVF or ecAVG ± AVF provide a better strategy for managing patients requiring immediate vascular access for haemodialysis. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 62 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 10 | 16% |
Student > Bachelor | 10 | 16% |
Student > Postgraduate | 8 | 13% |
Student > Ph. D. Student | 5 | 8% |
Lecturer | 3 | 5% |
Other | 8 | 13% |
Unknown | 18 | 29% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 20 | 32% |
Nursing and Health Professions | 11 | 18% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 5% |
Engineering | 3 | 5% |
Agricultural and Biological Sciences | 2 | 3% |
Other | 3 | 5% |
Unknown | 20 | 32% |