Back
For best output, select "Paper Size" as "A4" and "Margin" as "0" or "None".
To save or print to PDF, please select Print Destination > Save as PDF, enable Background Graphics under "More Settings", then click "Save".
During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
As medicine advances there is increase in life expectancy so is the increased prevalence of CKD. most of the elderly patients are diagnosed with End stage kidney disease at the time of diagnosis and are initiated on MHD. For better dialysis in ESRD patients a good access is important. Dialysis in elderly patients carries a poor prognosis, but little is known about the most effective vascular access method in this age group. Benefits of “fistula-first” strategy may not always translate into improved survival or quality of life in this population. Tunneled cuff catheters turn out to be a good bridging for AVF creation.There is major knowledge gap regarding this issue Particularly from developing countries.
AIM: To evaluate vascular–access transitions and outcomes in elderly patients initiated on MHD with tunneled cuffed catheters
Objectives
· Access transition metrics
· Catheter dependence
· Assess the CRBSI, catheter related thrombosis, primary AVF failure
· Determine overall survival rates in different groups
We did a retrospective observational study ethics committee approval for study and consent for phone follow-up is deemed as per local practice. patients were contacted via phone and current status of their access ,any complications , interval for AVF creation, functioning status of the AVF and if dead cause of death were noted. survival analysis was assessed using K-M curves. owing to small sample size and low event rate , p values and confidence intervals were not emphasized, as they would be statistically underpowered and potentially misleading.
Our study comprised of 63% males and 37% females. common etiologies of CKD were CIN, DKD ,CGN (61%, 32%, 7%). 45.7% attempted for AVF creation rest of the people continued on TCC. AVF was functional in 47.6% of the individuals with primary VAF failure rate of 52.4%. Mortality in the functional AVF group was 20% and 33.3% in TCC group.medain survival was not reached in the functional AVF group. Median survival on TCC was 12 months.
Limitations
· Singe center study
· Small sample size
· Recall and selection bias( healthy people choose for AVF creation )
Conclusion
Functional AVF provides the best survival advantage if it matures but high primary AVF failure rates negates the survival. Among the patients with primary AVF failure and who prefer QOL over longevity with comorbidities TCC is very good option over AVF.
