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Dialysis

Over-The-Wire Is an Option

SEATTLE—Over-the-wire exchange (OTWE) and catheter removal and replacement (RR) are similarly effective for managing fungal infections associated with tunneled dialysis catheters, according to a new study. OTWE resulted in similar fungal re-infection rates while allowing for preservation of dialysis access sites.

Fixing Failing Fistulas

SEATTLE—Use of the ultrahigh-pressure (UHP) balloon immediately after percutaneous transluminal angioplasty (PTA) is equivalent to the peripheral cutting balloon (PCB) for treating venous stenosis in patients with dialysis fistulas, preliminary findings suggest.

Taking Fewer Lanthanum Carbonate Pills

SAN DIEGO—Doses of lanthanum carbonate as high as 4,500 mg a day appear to be well tolerated and may provide serum phosphorus control for some stage-5 CKD patients who do not respond to 3,000 mg a day, according to a new trial of patients on maintenance hemodialysis.

Sevelamer May Lower Death Risk

A study of new hemodialysis patients revealed that those treated with the phosphate binder sevelamer had a significantly lower death rate than those treated with calcium-containing phosphate binders.

Drug Prevents PD Exit-Site Infections

DENVER—Gentamicin cream applied daily to the catheter exit site in patients on peritoneal dialysis (PD) reduces the rate of catheter infection, according to findings presented here at the Annual Dialysis Conference.

Dialysis Not A Post-CABG Risk

DENVER—Hemodialysis (HD)-dependent chronic renal failure (CRF) patients do not have higher mortality following coronary artery bypass grafting (CABG) than non-HD dependent CRF patients.

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