Department of Surgery, SUNY Upstate Medical University, College of Medicine, Syracuse, New York, United States
Dr. Michael J. Costanza is a vascular surgeon in Syracuse, New York and is affiliated with multiple hospitals in the area, including River Hospital and Oswego Hospital. He received his medical degree from The Ohio State University College of Medicine and has been in practice for more than 20 years.
Research Article
Risk Factors Associated with Tunneled Hemodialysis Catheter Use at the Start of Dialysis in Patients Referred for Early Arteriovenous Fistula placement
Author(s): Dominic N Facciponte* and Michael J Costanza
Objectives: We reviewed a consecutive series of patients who had arteriovenous fistula (AVF) placement in advance
of starting hemodialysis and sought to determine what factors were associated with failure of the AVF to be ready for
use which required patients to start dialysis with a tunneled dialysis catheter (TDC)?
Methods: We analyzed all patients who had an AVF placed at our institution from 2013-2018 using data from the
Vascular Quality Initiative database and retrospective chart review. The primary study group included patients who
had an AVF placed in advance of needing hemodialysis. Patients were categorized as “Success”: AVF placement with
hemodialysis initiated using the AVF or “Failure”: AVF placement with hemodialysis initiated using a TDC.
Results: Of the 46 patients revi.. View more»