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Timing of cannulation of arteriovenous grafts: are we too cautious?

Al Shakarchi J, Inston N - Clin Kidney J (2015)

Bottom Line: Timing of first cannulation of an arteriovenous graft has been the subject of great debate for clinicians worldwide.Following strict inclusion/exclusion criteria by two reviewers, eleven studies were included and divided into subgroups for ePTFE and new generation grafts.The current literature does not seem to support the current guidelines as there is no evidence to suggest that a delay in cannulation of grafts will improve graft survival and patency.

View Article: PubMed Central - PubMed

Affiliation: Clinical Research Fellow in Vascular Access and Renal Transplant Surgery, Department of Renal Surgery , University Hospital Birmingham , Birmingham , UK.

ABSTRACT

Background: Timing of first cannulation of an arteriovenous graft has been the subject of great debate for clinicians worldwide. In this paper, we reviewed the current literature on the timing of first cannulation of arteriovenous grafts.

Methods: Searches of PubMed, Medline and the Cochrane Library were performed using specific search terms to identify articles, dealing primarily with the timing of dialysis graft cannulation.

Results: Following strict inclusion/exclusion criteria by two reviewers, eleven studies were included and divided into subgroups for ePTFE and new generation grafts.

Conclusions: The current literature does not seem to support the current guidelines as there is no evidence to suggest that a delay in cannulation of grafts will improve graft survival and patency.

No MeSH data available.


Flowchart describing search strategy.
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SFU146F1: Flowchart describing search strategy.

Mentions: One hundred and eighty relevant articles and abstracts were identified. After screening the contents of the abstract, 18 full text articles underwent assessment for eligibility and quality inspection of methodology. Following this, there were 11 articles eligible for the review (Figure 1). These were subdivided between PTFE arteriovenous graft and the new generation of grafts.Fig. 1.


Timing of cannulation of arteriovenous grafts: are we too cautious?

Al Shakarchi J, Inston N - Clin Kidney J (2015)

Flowchart describing search strategy.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4440461&req=5

SFU146F1: Flowchart describing search strategy.
Mentions: One hundred and eighty relevant articles and abstracts were identified. After screening the contents of the abstract, 18 full text articles underwent assessment for eligibility and quality inspection of methodology. Following this, there were 11 articles eligible for the review (Figure 1). These were subdivided between PTFE arteriovenous graft and the new generation of grafts.Fig. 1.

Bottom Line: Timing of first cannulation of an arteriovenous graft has been the subject of great debate for clinicians worldwide.Following strict inclusion/exclusion criteria by two reviewers, eleven studies were included and divided into subgroups for ePTFE and new generation grafts.The current literature does not seem to support the current guidelines as there is no evidence to suggest that a delay in cannulation of grafts will improve graft survival and patency.

View Article: PubMed Central - PubMed

Affiliation: Clinical Research Fellow in Vascular Access and Renal Transplant Surgery, Department of Renal Surgery , University Hospital Birmingham , Birmingham , UK.

ABSTRACT

Background: Timing of first cannulation of an arteriovenous graft has been the subject of great debate for clinicians worldwide. In this paper, we reviewed the current literature on the timing of first cannulation of arteriovenous grafts.

Methods: Searches of PubMed, Medline and the Cochrane Library were performed using specific search terms to identify articles, dealing primarily with the timing of dialysis graft cannulation.

Results: Following strict inclusion/exclusion criteria by two reviewers, eleven studies were included and divided into subgroups for ePTFE and new generation grafts.

Conclusions: The current literature does not seem to support the current guidelines as there is no evidence to suggest that a delay in cannulation of grafts will improve graft survival and patency.

No MeSH data available.