BACKGROUND: Creating a functioning initial arteriovenous (AV) access for aging and @entity454 ( @entity454 ) hemodialysis @entity1 has been a challenge. METHODS: This study describes 748 consecutive primary AV access creations and their primary (unassisted) and secondary (assisted) access survival at a single center. Twenty-four percent of the @entity1 had @entity6 as their cause of @entity454 and the average age was 59.6 years. No @entity1 receiving an initial AV access required synthetic graft material. All received an AV @entity292 . Three types of fistulae were created and their distribution varied significantly for @entity6 and non- @entity6 @entity1 (respective percentages): forearm AV @entity292 (24%, 62%), @entity292 ( @entity292 ) at the elbow (48%, 21%) and non- @entity292 at the elbow (29%, 17%). RESULTS: Results of access survival for age groups <65 and 65+ years, male and female, @entity6 and non- @entity6 subgroups ranged from 51 to 75% for unassisted and from 75 to 96% for assisted two year access survival. @entity292 appeared to be advantageous over non- @entity292 access at the elbow. First intervention for peripheral steal syndrome was required at a rate of 7 and 0.6 per 100 @entity1 -years at risk for @entity6 and non- @entity6 @entity1 , respectively. The @entity715 rates per @entity1 year of 0.03 for non- @entity6 and 0.07 for @entity6 are superior to previously published results for AV fistulae or for a combined AV @entity292 -AV graft approach. CONCLUSIONS: Potential explanations for these excellent results among elderly and @entity6 @entity1 include preoperative evaluation, exclusive use of native vessels, a variable surgical approach including @entity292 , and the experience of a single operator.

Tailoring the initial vascular access for dialysis XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetics', 'diabetic', 'diabetes'] @entity292 :: ('MESH:D005402', 'Disease') :: ['perforating vein fistula', 'fistula', 'PVF'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity454 :: ('MESH:D007676', 'Disease') :: ['ESRD', 'diabetic end-stage renal disease']
@entity1 :: (9606,Species) :: ['patients']
