Fistula First Breakthrough Initiative: Targeting Catheter Last in Fistula First

Seminars in Dialysis

Volumn 25, Issue 3, 2012, Pages 303-310

  Vassalotti, Joseph A ^a,b   Jennings, William C ^c   Beathard, Gerald A ^d   Neumann, Marianne ^e   Caponi, Susan ^e   Fox, Chester H ^f   Spergel, Lawrence M ^g  

^a NATIONAL KIDNEY FOUNDATION   (United States)

^b MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF OKLAHOMA   (United States)

^d Lifeline Vascular Access   (United States)

^e IPRO Inc   (United States)

^f UNIVERSITY AT BUFFALO   (United States)

^g Dialysis Management Medical Group   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTERIOVENOUS SHUNT; ARTICLE; CHRONIC KIDNEY FAILURE; HUMAN; INDWELLING CATHETER; METHODOLOGY; RENAL REPLACEMENT THERAPY; STANDARD;

ARTERIOVENOUS SHUNT, SURGICAL; CATHETERS, INDWELLING; HUMANS; KIDNEY FAILURE, CHRONIC; RENAL DIALYSIS;

EID: 84861230801     PISSN: 08940959     EISSN: 1525139X     Source Type: Journal    
DOI: 10.1111/j.1525-139X.2012.01069.x     Document Type: Article

References (43)

1. The Fistula First Breakthough Initiative. Available at Accessed 8 March 2012.
2. U.S. Renal Data System: USRDS 2010 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2010
3. Dhingra RK, Young EW, Hulbert-Shearon TE, Leavey SF, Port FK: Type of vascular access and mortality in US hemodialysis patients. Kidney Int 60:1443-1452, 2001
4. Pastan S, Soucie JM, McClellan WM: Vascular access and increased risk of death among hemodialysis patients. Kidney Int 62:620-626, 2002
5. Goodkin DA, Pisoni RL, Locatelli F, Port FK, Saran R: Hemodialysis vascular access training and practices are key to improved access outcomes. Am J Kidney Dis 56:804-814, 2010
6. Lacson E, Lazarus JM, Himmelfarb J, Ikizler TA, Hakim RL: Balancing fistula first with catheters last. Am J Kidney Dis 50:379-395, 2007
7. Lacson E Jr, Wang W, Lazarus JM, Hakim RM: Change in vascular access and hospitalization risk in long-term hemodialysis patients. Clin J Am Soc Nephrol 5:1996-2003, 2010
8. Bradbury BD, Chen F, Furniss A, Pisoni RL, Keen M, Mapes D, Krishnan M: Conversion of vascular access type among incident hemodialysis patients: description and association with mortality. Am J Kidney Dis 53:804-814, 2009
9. Allon M, Daugirdas J, Depner TA, Green T, Ornt D, Schwab SJ: Effect of change in vascular access on patient mortality in hemodialysis patients. Am J Kidney Dis 47:469-477, 2006
10. National Kidney Foundation: KDOQI Clinical Practice Guidelines for Vascular Access, Update 2000. Am J Kidney Dis 37(Suppl. 1):S137-S181, 2001
11. Pisoni RL, Young EW, Dykstra DM, Greenwood RN, Hecking E, Gillespie B, Wolfe RA, Goodkin DA, Held PJ: Vascular access use in Europe and the United States: results from the DOPPS. Kidney Int 61:305-316, 2002
12. Spergel LM: Has the fistula first breakthrough initiative caused an increase in catheter prevalence? Semin Dial 21:550-552, 2008
13. Wish JB: Vascular access for dialysis in the United States: progress, hurdles, controversies and the future. Semin Dial 23:614-618, 2010
14. Sands JJ: Increasing AV fistulae and decreasing dialysis catheters: two aspects of improving patient outcomes. Blood Purif 25:99-102, 2007
15. National Kidney Foundation: KDOQI Clinical Practice Guidelines for Vascular Access, Update 2006. Am J Kidney Dis 2006 48(Suppl. 1):S227-S409, 2006
16. ESRD: Forum MAC Catheter Reduction Toolkit Available at
17. CDC: Vital signs: central line-associated blood stream infections-United States, 2001, 2008, and 2009. Morbidity and Mortality Weekly Report (MMWR) 60(8):243-248, 2011
18. Añel RL, Yevzlin AS, Ivanovich P: Vascular access and patient outcomes in hemodialysis: questions answered in recent literature. Artif Organs 27(3):237-241, 2003
19. Chan MR: Hemodialysis central venous catheter dysfunction. Semin Dial 21(6):516-521, 2008
20. Hemmelgam BR, Moist LM, Lok CE, Tonelli M, Manns BJ, Holden RM, LeBlanc M, Faris P, Barre P, Zhang J, Scott-Douglas N; Prevention of Dialysis Catheter Lumen Occlusion with rt-PA versus Heparin Study Group: Prevention of dialysis catheter malfunction with recombinant tissue plasminogen activator. N Engl J Med 364:303-312, 2011
21. Altman SD: A practical approach for diagnosis and treatment of central venous stenosis and occlusion. Semin Vasc Surg 20:189-194, 2007
22. Ishani A, Collins AJ, Foley RN: Septicemia, access and cardiovascular disease in dialysis patients: the USRDS Wave 2 study. Kidney Int 68:311-318, 2005
23. Schon D, Blume SW, Niebauer K, Hollenbeak CS, de Lissovoy G: Increasing the use of arteriovenous fistula in hemodialysis: economic benefits and economic barriers. Clin J Am Soc Nephrol 2:268-276, 2007
24. Copper BA, Branley P, Bulfone L, Collins JF, Craig JC, Fraenkel MB, Harris A, Johnson DW, Kesselhut J, Li JJ, Luxton G, Pilmore A, Tiller DJ, Harris DC, Pollock CA; IDEAL Study: A randomized, controlled trial of early versus late initiation of dialysis. N Engl J Med 363:606-619, 2010
25. Rostansky SJ, Eggers P, Jackson K, Glassock R, Clark WF: Early start of hemodialysis may be harmful. Arch Int Med 171:396-403, 2011
26. Hakim RL, Himmelfarb J: Hemodialysis access failure: a call to action-revisited. Kidney Int 76:1040-1048, 2009
27. Sidway AN, Spergel LM, Besarab A, Allon M, Jennings WC, Padberg Jr FT, Murad MH, Montori VM, O'Hare AM, Calligaro KD, Macsata RA, Lumsden AB, Ascher E: The Society for Vascular Surgery: clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access. J Vasc Surg 48(5 Suppl.):2S-25S, 2008
28. Dember LM, Beck GJ, Allon M, Delmez JA, Dixon BS, Greenberg A, Himmelfarb J, Vazquez MA, Gassman JJ, Greene T, Radeva MK, Braden GL, Ikizler TA, Rocco MV, Davidson IJ, Kaufman JS, Meyers CM, Kusek JW, Feldman HI; Dialysis Access Consortium Study Group: Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis. Dialysis Access Consortium Study Group. JAMA 299:2164-2171, 2008
29. Jennings WC, Broughan TA: Arteriovenous fistulas in a complex vascular access referral practice. Semin Dial 22:213-218, 2009
30. Allon M, Robbin ML: Increasing arteriovenous fistulas in hemodialysis patients: problems and solutions. Kidney Int 62(4):1109-1124, 2002
31. Hentschel DM, Atif A: Effect of clopidogrel of arteriovenous fistulas for dialysis. JAMA 300(14):1647-1648, 2008
32. Lynch JR, Wasse H, Armistead NC, McClellan WM: Achieving the goal of the fistula first breakthrough initiative for prevalent maintenance hemodialysis patients. Am J Kidney Dis 57:79-89, 2011
33. Sales CM, Schmidt RT: Fistula first clarifies definition of preferred access. Nephrol News Issues 24:54-57, 2010
34. Slayden GC, Spergel L, Jennings WC: Secondary arterial venous fistulas: converting grafts to autologous dialysis access. Semin Dial 21:474-482, 2008
35. Medicare and Medicaid Programs: Conditions for Coverage for End-Stage Renal Disease Facilities; Final Rule. Federal Register, April 15, 2008. Available at
36. National Kidney Foundation: KDOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification and Stratification. Am J Kidney Dis 39(Suppl. 1):S1-S266, 2002
37. Renal Physicians Association: Vascular Access Initiative: Resources and Tools. Available at Accessed 8 March 2012.
38. Wish JB: Fistula first: myth vs. fact. Nephrol News Issues 24(4):36, 39-41, 2010
39. Allon M: Fistula first: recent progress and ongoing challenges. Am J Kidney Dis 57(1):3-6, 2011
40. Lee T, Barker J, Allon M: Needle infiltration of arteriovenous fistulas in hemodialysis: risk factors and consequences. Am J Kidney Dis 47(6):1020-1026, 2006
41. Polkinghorne KR, Seneviratne M, Kerr PG: Effect of a vascular access nurse coordinator to reduce central venous catheter use in incident hemodialysis patients - a quality improvement report. Am J Kidney Dis 53:99-106, 2009
42. Institute of Medicine: Available at Accessed 8 March 2012.
43. Young HN, Chan MR, Yevzlin AS, Becker BN: The rationale, implementation and effect of the medicare CKD education benefit. Am J Kidney Dis 57(3):381-386, 2011