PARAMETERS TO PREDICT FUNCTIONAL MATURATION AND OUTCOMES OF ARTERIOVENOUS FISTULA IN END STAGE RENAL DISEASE PATIENTS: A SINGLE CENTRE STUDY

International journal of scientific research Pub Date : 2024-05-15 DOI:10.36106/ijsr/5903725

Mahesh Jangra, D. Kenwar, Sarbpreet Singh, Ashish Sharma

{"title":"PARAMETERS TO PREDICT FUNCTIONAL MATURATION AND OUTCOMES OF ARTERIOVENOUS FISTULA IN END STAGE RENAL DISEASE PATIENTS: A SINGLE CENTRE STUDY","authors":"Mahesh Jangra, D. Kenwar, Sarbpreet Singh, Ashish Sharma","doi":"10.36106/ijsr/5903725","DOIUrl":null,"url":null,"abstract":"Background: The 'gold standard' vascular access for haemodialysis is an endogenously created arteriovenous stula (AVF). AVF is the most\npreferred mode of vascular access because this mode is mostly devoid of infection, gives a high blood ow rate, and has least chances of clot\nformation. The main purpose of this study is to predict the factors affecting AVF maturation and outcomes in patients with end stage renal disease.\nMethods: This is a prospective observational study conducted from July 1, 2017 to December 31, 2018. Out of 150 patients consented for surgery,\n5 patients died during the follow up period and 2 patients were lost to follow up. Patients were divided into AVF functional group that included\n81.8% (n=117) patients and AVF failure group (18.2%, n=26). All patients were followed at 2 weeks, 4 weeks, 6 weeks and at 12 months. Results:\nMale sex had more AVF failure rate than female sex. Patients having associated comorbidities had comparable risk of non-maturation of AVF\n(18.0%, p= 0.87). Diabetic nephropathy (50.3%) followed by hypertensive nephrosclerosis (37.8%) were most common causes of ESRD. RCF had\nthe best patency rate as compared to BCF and BBF (p= 0.28). Vein as well as artery diameter was not found to be a signicant factor for AVF\nmaturation (p value > 0.05). Most common cause of AVF failure was found to be thrombosis (11.9%) followed by stenosis (3.5%), infection (2.1%),\npseudoaneurysm (0.7%). Conclusion: Neither gender nor vessel, vein as well as artery, diameters affected patency rates of AVF. Smoking had a\npredictive relationship with non-maturation of AVF. RCF had the best patency rate as compared to BCF and BBF. There was no signicant\nstatistical relationship between types of AVF, surgeons experience, site, associated comorbidity and AVF patency rate. Duplex vein mapping\nshould be done for all the cases of AVF surgery to obtain better patency rates.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":" 4","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of scientific research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36106/ijsr/5903725","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The 'gold standard' vascular access for haemodialysis is an endogenously created arteriovenous stula (AVF). AVF is the most preferred mode of vascular access because this mode is mostly devoid of infection, gives a high blood ow rate, and has least chances of clot formation. The main purpose of this study is to predict the factors affecting AVF maturation and outcomes in patients with end stage renal disease. Methods: This is a prospective observational study conducted from July 1, 2017 to December 31, 2018. Out of 150 patients consented for surgery, 5 patients died during the follow up period and 2 patients were lost to follow up. Patients were divided into AVF functional group that included 81.8% (n=117) patients and AVF failure group (18.2%, n=26). All patients were followed at 2 weeks, 4 weeks, 6 weeks and at 12 months. Results: Male sex had more AVF failure rate than female sex. Patients having associated comorbidities had comparable risk of non-maturation of AVF (18.0%, p= 0.87). Diabetic nephropathy (50.3%) followed by hypertensive nephrosclerosis (37.8%) were most common causes of ESRD. RCF had the best patency rate as compared to BCF and BBF (p= 0.28). Vein as well as artery diameter was not found to be a signicant factor for AVF maturation (p value > 0.05). Most common cause of AVF failure was found to be thrombosis (11.9%) followed by stenosis (3.5%), infection (2.1%), pseudoaneurysm (0.7%). Conclusion: Neither gender nor vessel, vein as well as artery, diameters affected patency rates of AVF. Smoking had a predictive relationship with non-maturation of AVF. RCF had the best patency rate as compared to BCF and BBF. There was no signicant statistical relationship between types of AVF, surgeons experience, site, associated comorbidity and AVF patency rate. Duplex vein mapping should be done for all the cases of AVF surgery to obtain better patency rates.

查看原文本刊更多论文

预测终末期肾病患者动静脉瘘功能成熟和预后的参数：单中心研究

背景：血液透析的 "金标准 "血管通路是内源性动静脉 stula (AVF)。AVF 是最理想的血管通路模式，因为这种模式大多没有感染，血液 ow 率高，形成血栓的几率最小。本研究的主要目的是预测影响末期肾病患者 AVF 成熟和预后的因素：这是一项前瞻性观察研究，研究时间为 2017 年 7 月 1 日至 2018 年 12 月 31 日。在同意手术的150名患者中，5名患者在随访期间死亡，2名患者失去随访机会。患者被分为动静脉瘘功能组（81.8%，n=117）和动静脉瘘失败组（18.2%，n=26）。对所有患者分别进行了 2 周、4 周、6 周和 12 个月的随访。结果：男性的动静脉瘘失败率高于女性。伴有合并症的患者发生动静脉瘘不成熟的风险相当（18.0%，P= 0.87）。糖尿病肾病（50.3%）和高血压肾硬化症（37.8%）是导致 ESRD 的最常见原因。与 BCF 和 BBF 相比，RCF 的通畅率最高（P= 0.28）。静脉和动脉直径都不是影响动静脉瘘通畅的重要因素（p 值 > 0.05）。发现导致动静脉瘘失败的最常见原因是血栓形成（11.9%），其次是狭窄（3.5%）、感染（2.1%）和假性动脉瘤（0.7%）。结论性别、血管、静脉和动脉直径均不影响动静脉瘘的通畅率。吸烟与动静脉瘘不闭合有一定的关系。与 BCF 和 BBF 相比，RCF 的通畅率最高。动静脉瘘类型、外科医生经验、手术部位、相关合并症与动静脉瘘通畅率之间没有显著。应为所有动静脉瘘手术病例绘制双工静脉图，以获得更好的通畅率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International journal of scientific research

自引率

0.00%

发文量