The Impact of Transvenous Cardiac Devices on Vascular Access Patency in Hemodialysis Patients

Chieh Suai Tan, Cui Jie, Jennifer Joe, Zubin D. Irani, Suvranu Ganguli, Sanjeeva Prasad Kalva, Stephan Wicky, Steven Wu

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Creating a vascular access in the presence of a cardiovascular implantable electronic device (CIED) in a patient with or approaching end-stage renal disease can be challenging. In this study, we aimed to evaluate the impact of a CIED on the outcomes of vascular access creation in hemodialysis patients and determine their effects on vascular access patency. This is a single-center retrospective review of hemodialysis patients who underwent vascular access creation after CIED placement. Outcomes of vascular access creation and need for endovascular interventions were compared between patients with vascular access created ipsilateral and contralateral to the site of CIED. Comparing patients with arteriovenous (AV) access created ipsilateral to CIED placement (n=19) versus the contralateral side (n=17), the primary failure rate was 78.9% versus 35.3% (p=0.02). For AV accesses that were matured, the median primary patency durations for AV accesses created ipsilateral to the CIED was 11.2months compared to 7.8months for AV accesses created contralateral to the CIED (p=1.00). AV accesses created ipsilateral to a CIED have a higher primary failure rate compared with the contralateral arm and should be avoided as much as possible.

Original languageEnglish (US)
Pages (from-to)728-732
Number of pages5
JournalSeminars in Dialysis
Volume26
Issue number6
DOIs
StatePublished - Dec 1 2013

ASJC Scopus subject areas

  • Nephrology

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    Tan, C. S., Jie, C., Joe, J., Irani, Z. D., Ganguli, S., Kalva, S. P., Wicky, S., & Wu, S. (2013). The Impact of Transvenous Cardiac Devices on Vascular Access Patency in Hemodialysis Patients. Seminars in Dialysis, 26(6), 728-732. https://doi.org/10.1111/sdi.12073