Mahesh Jangra, D. Kenwar, Sarbpreet Singh, Ashish Sharma
{"title":"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","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 signicant 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 signicant\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":"{\"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 signicant 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 signicant\\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}","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}
PARAMETERS TO PREDICT FUNCTIONAL MATURATION AND OUTCOMES OF ARTERIOVENOUS FISTULA IN END STAGE RENAL DISEASE PATIENTS: A SINGLE CENTRE STUDY
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 signicant 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 signicant
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.