Factors influencing patency of brescia-cimino arteriovenous fistulas in hemodialysis patients
Autologous arteriovenous fistula is gold standard to maintain vascular access for hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative guidelines, distal veins are preferred as the first choice. In this study, a total of 134 patients and 138 fistulas were evaluated from April...
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| Published in | Saudi journal of kidney diseases and transplantation Vol. 28; no. 2; pp. 313 - 317 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Riyadh, Saudi Arabia
Saudi Center for Organ Transplantation
01.03.2017
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer Medknow Publications |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Autologous arteriovenous fistula is gold standard to maintain vascular access for
hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative guidelines, distal
veins are preferred as the first choice. In this study, a total of 134 patients and 138 fistulas were
evaluated from April 2015 to March 2016. Demographic factors and clinical factors were taken
into consideration. Our study showed that age, sex, diabetes, and type of construction (end-to-side
vs. side-to-side) had no influence over fistula patency rates. Intradialytic hypotension was one of
the risk factors for loss of fistula patency. Smoking and history of hypertension were associated
with reduced patency rates (P <0.001). Primary failure was more with distal fistulas (15.2%). |
|---|---|
| AbstractList | Autologous arteriovenous fistula is gold standard to maintain vascular access for hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative guidelines, distal veins are preferred as the first choice. In this study, a total of 134 patients and 138 fistulas were evaluated from April 2015 to March 2016. Demographic factors and clinical factors were taken into consideration. Our study showed that age, sex, diabetes, and type of construction (end-to-side vs. side-to-side) had no influence over fistula patency rates. Intradialytic hypotension was one of the risk factors for loss of fistula patency. Smoking and history of hypertension were associated with reduced patency rates (P<0.001). Primary failure was more with distal fistulas (15.2%). Autologous arteriovenous fistula is gold standard to maintain vascular access for hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative guidelines, distal veins are preferred as the first choice. In this study, a total of 134 patients and 138 fistulas were evaluated from April 2015 to March 2016. Demographic factors and clinical factors were taken into consideration. Our study showed that age, sex, diabetes, and type of construction (end-to-side vs. side-to-side) had no influence over fistula patency rates. Intradialytic hypotension was one of the risk factors for loss of fistula patency. Smoking and history of hypertension were associated with reduced patency rates (P<0.001). Primary failure was more with distal fistulas (15.2%).Autologous arteriovenous fistula is gold standard to maintain vascular access for hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative guidelines, distal veins are preferred as the first choice. In this study, a total of 134 patients and 138 fistulas were evaluated from April 2015 to March 2016. Demographic factors and clinical factors were taken into consideration. Our study showed that age, sex, diabetes, and type of construction (end-to-side vs. side-to-side) had no influence over fistula patency rates. Intradialytic hypotension was one of the risk factors for loss of fistula patency. Smoking and history of hypertension were associated with reduced patency rates (P<0.001). Primary failure was more with distal fistulas (15.2%). Autologous arteriovenous fistula is gold standard to maintain vascular access for hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative guidelines, distal veins are preferred as the first choice. In this study, a total of 134 patients and 138 fistulas were evaluated from April 2015 to March 2016. Demographic factors and clinical factors were taken into consideration. Our study showed that age, sex, diabetes, and type of construction (end-to-side vs. side-to-side) had no influence over fistula patency rates. Intradialytic hypotension was one of the risk factors for loss of fistula patency. Smoking and history of hypertension were associated with reduced patency rates (P <0.001). Primary failure was more with distal fistulas (15.2%). |
| Audience | Academic |
| Author | Dayapule, Sridhar Vaddi, Surya Prakash Reddy, Vijaya Bhaskar Manne, Venu |
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| References_xml | – start-page: 1787 volume-title: Risk factors associated with patency loss of hemodialysis vascular access within 6 months year: 2010 ident: key-10.4103/1319-2442.202759-2 publication-title: Clin J Am Soc Nephrol – start-page: 451 volume-title: Factors responsible for fistula failure in hemodialysis patients year: 2006 ident: key-10.4103/1319-2442.202759-9 publication-title: Pak J Med Sci – ident: key-10.4103/1319-2442.202759-6 – start-page: 640 volume-title: A prospective study of end-to-side vs.side-to-side arteriovenous fistulas for haemodialysis year: 1984 ident: key-10.4103/1319-2442.202759-15 publication-title: Br J Surg – start-page: 70 volume-title: The snuffbox arteriovenous fistula for vascular access year: 2000 ident: key-10.4103/1319-2442.202759-4 publication-title: Eur J Vasc Endovasc Surg – start-page: 257 volume-title: Long and short term patency of radiocephalic arteriovenous fistulas year: 1988 ident: key-10.4103/1319-2442.202759-13 publication-title: Acta Chir Scand – start-page: 332 volume-title: Early arteriovenous fistula failure: A logical proposal for when and how to intervene year: 2006 ident: key-10.4103/1319-2442.202759-10 publication-title: Clin J Am Soc Nephrol – start-page: 144 volume-title: Optimizing arteriovenous fistula maturation year: 2009 ident: key-10.4103/1319-2442.202759-11 publication-title: Semin Intervent Radiol – start-page: 849 volume-title: Factors affecting the patency of arteriovenous fistulas for dialysis access year: 2012 ident: key-10.4103/1319-2442.202759-12 publication-title: J Vasc Surg – start-page: 1526 volume-title: Intradialytic hypotension and vascular access thrombosis year: 2011 ident: key-10.4103/1319-2442.202759-8 publication-title: J Am Soc Nephrol – start-page: 113 volume-title: Preoperative radial arterial diameter predicts early failure of arteriovenous fistula (AVF) for haemodialysis year: 2007 ident: key-10.4103/1319-2442.202759-14 publication-title: Eur J Vasc Endovasc Surg – start-page: 83 issn: 1319-2442 volume-title: Predictors of early vascular-access failure in patients on hemodialysis year: 2012 ident: key-10.4103/1319-2442.202759-5 publication-title: Saudi J Kidney Dis Transpl – start-page: 122 volume-title: The KDOQI 2006 vascular access update and fistula first program synopsis year: 2009 ident: key-10.4103/1319-2442.202759-1 publication-title: Semin Intervent Radiol – start-page: 84 volume-title: Changes in the practice of angioaccess surgery: Impact of dialysis outcome and quality initiative recommendations year: 2000 ident: key-10.4103/1319-2442.202759-3 publication-title: J Vasc Surg – start-page: 583 volume-title: Radiocephalic wrist arteriovenous fistula for hemodialysis: Meta-analysis indicates a high primary failure rate year: 2004 ident: key-10.4103/1319-2442.202759-7 publication-title: Eur J Vasc Endovasc Surg |
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| Snippet | Autologous arteriovenous fistula is gold standard to maintain vascular access for
hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative... Autologous arteriovenous fistula is gold standard to maintain vascular access for hemodialysis patients. As per the Kidney Disease Outcomes Quality Initiative... |
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| SubjectTerms | Adolescent Adult Age Aged Arteriovenous Shunt, Surgical - adverse effects Arteriovenous Shunt, Surgical - methods Catheters Child Diabetes Failure Female Fistulas Graft Occlusion, Vascular - etiology Graft Occlusion, Vascular - physiopathology Health aspects Hemodialysis Hemodialysis patients Humans Hypertension Hypertension - etiology Hypertension - physiopathology Hypotension - etiology Hypotension - physiopathology Male Middle Aged Patients Prospective Studies Renal Dialysis - adverse effects Risk Assessment Risk Factors Smoking - adverse effects Surgery Transplants & implants Treatment Outcome Urology Vascular Patency Veins & arteries Young Adult الأمراض الكلى المرضى النواسير الشريانية الوريدية الجافوية غسيل الكلى |
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| Title | Factors influencing patency of brescia-cimino arteriovenous fistulas in hemodialysis patients |
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