Evaluation of the relationship between proximal upper-extremity arteriovenous fistula patency and atherogenic index of plasma.

IF 1.4 4区医学 Q4 ENGINEERING, BIOMEDICAL

International Journal of Artificial Organs Pub Date : 2024-10-01 Epub Date: 2024-08-24 DOI:10.1177/03913988241269534

Arda Aybars Pala, Yusuf Salim Urcun, Cengiz Guven

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Abstract

Background: The continuity of arteriovenous fistula (AVF) patency is essential for effective hemodialysis. In the present study, we aimed to investigate the relationship between AVF patency and atherogenic index of plasma (AIP) in patients with native proximal upper-extremity AVF.

Methods: A total of 143 patients with native proximal upper-extremity AVF created in our clinic between January 2014 and April 2022 were analyzed retrospectively. Those with at least 24 months of follow-up and intact AVF were defined as "Group 1" (n = 97), and those with AVF thrombosis were defined as "Group 2" (n = 46).

Results: The primary patency rates of the patient groups included in the study were found to be 88.1% at 6th month, 79% at 12th month, and 67.8% at 24th month. The mean AIP values that were calculated in Group 2 were found to be statistically significantly higher than the mean value calculated in Group 1 (0.30 ± 0.12 vs 0.20 ± 0.10, p < 0.001). In a multivariate logistic regression analysis made to identify the predictors of proximal upper-extremity AVF thrombosis development, total cholesterol (OR [odds ratio] = 2.259, 95% CI [confidence interval] = 1.468-3.475, p < 0.001), and triglyceride (OR = 13.777, 95% CI = 3.740-50.750, p < 0.001) were identified as independent predictors.

Conclusion: A significant relationship was detected in the analyses between the easily calculated AIP values and the development of AVF thrombosis. The AIP is a remarkable preoperative parameter regarding proximal upper-extremity AVF patency.

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评估上肢近端动静脉瘘管通畅与血浆致动脉粥样硬化指数之间的关系。

背景：动静脉内瘘（AVF）的连续性对于有效的血液透析至关重要。在本研究中，我们旨在探讨原发性近端上肢动静脉瘘患者的动静脉瘘通畅性与血浆致动脉粥样硬化指数（AIP）之间的关系：方法：我们对 2014 年 1 月至 2022 年 4 月期间在本诊所创建的 143 例原发性近端上肢动静脉瘘患者进行了回顾性分析。随访至少 24 个月且动静脉瘘完好的患者被定义为 "第 1 组"（97 人），动静脉瘘血栓形成的患者被定义为 "第 2 组"（46 人）：研究发现，各组患者在第 6 个月时的主要通畅率为 88.1%，第 12 个月时为 79%，第 24 个月时为 67.8%。第 2 组计算出的 AIP 平均值在统计学上明显高于第 1 组（0.30 ± 0.12 vs 0.20 ± 0.10，p p p 结论）：在分析中发现，易于计算的 AIP 值与动静脉瘘血栓形成之间存在明显关系。AIP 是有关上肢近端动静脉瘘通畅性的一个重要术前参数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Artificial Organs 医学-工程：生物医学

CiteScore

3.40

自引率

5.90%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Artificial Organs (IJAO) publishes peer-reviewed research and clinical, experimental and theoretical, contributions to the field of artificial, bioartificial and tissue-engineered organs. The mission of the IJAO is to foster the development and optimization of artificial, bioartificial and tissue-engineered organs, for implantation or use in procedures, to treat functional deficits of all human tissues and organs.