How long do you wait before arranging AVF placement in patients with AKI who remain dialysis dependent?
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How long would you wait before arranging AVF placement in a patient with AKI, without a prior history of CKD, who remains dialysis dependent?
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2 Answers
Mednet MemberInvited Expert
Nephrology · The University of Texas Health Science Center at San Antonio
Answered on
About 35-45% of dialysis-requiring AKI patients discharged from the hospital on dialysis will recover sufficient renal function to stop dialysis. The majority of patients who recover kidney function do so within the first 60 days after discharge. Elderly patients and those with poor pre-AKI kidney f...
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Mednet MemberInvited Expert
Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on
At 90 days if they are still on dialysis, they would be considered ESRD. It would be nice to have started the fistula placement before that. A lot of it depends on other factors. For example, if I have a patient who has baseline creatinine in the 3s and a lot of proteinuria, then develops AKI and st...
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