PMID- 24863543
OWN - NLM
STAT- MEDLINE
DCOM- 20151009
LR  - 20150113
IS  - 1525-139X (Electronic)
IS  - 0894-0959 (Linking)
VI  - 28
IP  - 1
DP  - 2015 Jan-Feb
TI  - Cardiovascular implantable electronic devices in hemodialysis patients: 
      prevalence and implications for arteriovenous hemodialysis access interventions.
PG  - 94-100
LID - 10.1111/sdi.12249 [doi]
AB  - Cardiovascular implantable electronic devices (CIEDs) are frequently utilized in 
      hemodialysis patients. CIED leads are typically implanted via the subclavian vein 
      resulting in stenosis and venous hypertension. We studied 1235 chronic 
      hemodialysis patients under the care of our nephrology practice. For each, we 
      determined the presence of a CIED, indication for implantable 
      cardioverter-defibrillator (ICD), and type of hemodialysis access. Records were 
      reviewed to identify all interventions performed on the access circuit and the 
      central veins specifically. A CIED was present in 129 patients (10.5%), including 
      ICDs in 75 (6.1%) and pacemakers in 54 (4.4%). The access circuit intervention 
      rate was 1.48/access year (AY) and was similar when a CIED was ipsilateral 
      (1.53/AY) or contralateral (1.44/AY) to arteriovenous access (p = 0.477). The 
      rate of central venous interventions was greater in the ipsilateral (0.59/AY) 
      versus contralateral group (0.28/AY), (p < 0.001). Fifty-four of 59 patients with 
      ipsilateral access and CIED required <2 interventions per AY, but six failed 
      angioplasty and required access ligation. None had superior vena cava stenosis 
      requiring intervention. We conclude that there is a high prevalence of CIEDs in 
      our HD patients. Ipsilateral CIED and arteriovenous access results in higher 
      central venous intervention rates compared with contralateral cases; overall 
      access circuit intervention rates are similar.
CI  - (c) 2014 Wiley Periodicals, Inc.
FAU - Saad, Theodore F
AU  - Saad TF
AD  - Nephrology Associates, PA, Vascular Access Center, Newark, DE; Section of Renal & 
      Hypertensive Diseases, Department of Medicine, Christiana Care Health System, 
      Newark, DE.
FAU - Ahmed, Waqas
AU  - Ahmed W
FAU - Davis, Karen
AU  - Davis K
FAU - Jurkovitz, Claudine
AU  - Jurkovitz C
LA  - eng
PT  - Journal Article
DEP - 20140527
PL  - United States
TA  - Semin Dial
JT  - Seminars in dialysis
JID - 8911629
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Arteriovenous Shunt, Surgical
MH  - Brachiocephalic Veins
MH  - *Defibrillators, Implantable
MH  - Female
MH  - Humans
MH  - Kidney Failure, Chronic/complications/*therapy
MH  - Male
MH  - Middle Aged
MH  - *Pacemaker, Artificial
MH  - Prevalence
MH  - *Renal Dialysis
MH  - Retrospective Studies
MH  - Subclavian Vein
EDAT- 2014/05/28 06:00
MHDA- 2015/10/10 06:00
CRDT- 2014/05/28 06:00
PHST- 2014/05/28 06:00 [entrez]
PHST- 2014/05/28 06:00 [pubmed]
PHST- 2015/10/10 06:00 [medline]
AID - 10.1111/sdi.12249 [doi]
PST - ppublish
SO  - Semin Dial. 2015 Jan-Feb;28(1):94-100. doi: 10.1111/sdi.12249. Epub 2014 May 27.