---
title: Vascular Access Facts
description: Facts about vascular access from the USRDA Report
image: https://blog.transonic.com/hubfs/GettyImages-493762819%20(2).jpg
---

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# Vascular Access Facts

By [Susan Eymann, MS](https://blog.transonic.com/hemodialysis/author/susan-eymann-ms)30 Dec 2019

*(Gleaned from the 2018 USRDS Annual Data Report: Volume II: Chapter 3)*

 

- Seventeen percent of patients used an AV fistula exclusively at dialysis initiation. This increased to 64% by the end of one year on HD, and to 71% by the end of two years.
- The proportion of patients with an AV graft for vascular access was 3% at HD initiation, 15% at one year after initiation, and 17% at two years.
- At one year after HD initiation, 79% of patients were using either an AV fistula or AV graft without the presence of a catheter. By two years, this number rose to 88%.
- By May 2017, 62.8% of prevalent dialysis patients in the U.S. were using an AV fistula.
- Of AV fistulas placed between June 2014 and May 2016, 39% failed to mature sufficiently for use in dialysis. Of those that did mature, the median time to first use was 108 days.
- Patient demographic characteristics appear to contribute to success with AV fistula; at younger ages, the percent of AV fistulas that successfully mature is higher and the median time to first use is somewhat shorter. Males had a higher AV fistula maturation rate compared to females, as well as shorter time to first use. Blacks experienced the highest AV fistula maturation failure rates, compared to other races.  
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