Preserve Vascular Access

Initiating Dialysis with PD preserves vascular access and eliminates the risk of HD access infections and complications1

Image of a doctor shaking hands with a patient

  • A PD Catheter may be established and used immediately for treatment2
  • 35% of AV fistulas fail to mature resulting in the need for CVC3
  • Unlike PD catheters, fistulas are irreversible, with body image implications 
  • Percutaneous catheter insertion can support timely access to PD4
  • Practices incorporating nephrologist-led percutaneous catheter insertion are shown to have an increase in the number of patients using PD4-9

Reduced access related infections & hospitalization rates for PD vs ICHD

Challenges of HD vascular access

  • Infectious complications of vascular access are one of the major causes of morbidity and mortality in HD patients10 
  • HD vascular access is implicated as the source of bacteremia in 48-73% of patients with CVC as the highest source of infection11 
  • The use of CVCs has been clearly implicated in an increased risk of mortality and infection rates1

PD offers: 

  • Reduced risk of access complications, hospitalization and infection12,13,15,16 
    • The rate of hospitalization due to vascular access complications is higher than peritonitis-related hospitalization17
  • Reduced number and risk of invasive interventions and associated complications12-16
Chart showing Adjusted cause-specific hospitalization rates in prevalent Medicare beneficiaries with ESRD 2009-2019: Vascular access in HD patients vs peritonitis in PD patients