Multiple Single Cannulation Technique Improves the Outcomes of Arteriovenous Graft in Hemodialysis Patients: A Retrospective Study

• Published in: Sichuan da xue xue bao. Journal of Sichuan University. Yi xue ban Vol. 55; no. 4; p. 1001
• Main Authors: Wang, Ruimin, Wang, Siyan, Xue, Xiaoling, Yue, Xiaohong, Wang, Xinfang, Wang, Pei, Liang, Xianhui
• Format: Journal Article
• Language: Chinese
• Published: China 20.07.2024
• Subjects: Arteriovenous Shunt, Surgical - methods; Catheterization - methods; Female; Humans; Male; Middle Aged; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Complications - prevention & control; Renal Dialysis - methods; Retrospective Studies; Treatment Outcome; Vascular Patency; Clinical outcome; Cannulation; Arteriovenous graft; Hemodialysis
• ISSN: 1672-173X
• DOI: 10.12182/20240760207

To evaluate the effects of the multiple single cannulation technique (MUST) on the outcomes of arteriovenous graft (AVG). A retrospective study of AVG created between January 2018 and December 2021 at the First Affiliated Hospital of Zhengzhou University was conducted. The clinical data of patients and their follow-up data for venous access were analyzed. Subjects were divided into the MUST group or the non-MUST group according to whether MUST was used. The cumulative patency rate and complication incidence were compared between the two groups. Logistic regression was applied to analyze the influencing factors of applying MUST in AVG. The MUST group included 115 AVG and the non-MUST group, 122 AVG. The 1-year, 2-year, 3-year, and 4-year cumulative patency rates of the MUST group were 100%, 99.1%, 95.2%, 85.4%, and 73.2%, respectively, while those for the non-MUST group were 97.5%, 92.7%, 77.7%, 69.7%, and 50.0%, respectively, with the 2-year and 3-year patency rates showing significant difference ( =0.022, =0