Document Detail


Prospective evaluation of factors associated with early failure of arteriovenous fistulae in hemodialysis patients.
MedLine Citation:
PMID:  16956474     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent guidelines have recommended performing native arteriovenous fistulae (AVF) in hemodialysis patients rather than synthetic grafts whenever possible. However, early failure of AVF may reach up to 50%. The purpose of this study was to assess the factors associated with early failure of such procedures in hemodialysis patients. A prospective study was performed on all patients with end-stage renal disease who had an AVF between June 2003 and March 2005. Data including patient characteristics and the type of AVF were recorded. The internal diameter of the vein and artery and intraoperative blood flow were measured. Patients were followed up for 3 months. One hundred twenty-six AVF were included in this study. Early failure was in 14 (9%) patients. The internal diameter of the vein and artery and intraoperative blood flow were significantly lower in the failure group than in the patent group. The failure rate was not significantly related to other parameters. Our data showed that intraoperative blood flow is a reliable parameter that determines the early failure of an AVF. Careful selection of the vein and the artery may reduce the rate of failure.
Authors:
Mohamed A Elsharawy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular     Volume:  14     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-09-07     Completed Date:  2007-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  70-4     Citation Subset:  IM    
Affiliation:
Vascular Unit, College of Medicine, King Faisal University, Dammam, Kingdom of Saudi Arabia. elsharawya@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arteriovenous Shunt, Surgical / methods*
Basilar Artery / surgery
Brachial Artery / surgery
Brachiocephalic Trunk / surgery
Brachiocephalic Veins / surgery
Chi-Square Distribution
Female
Follow-Up Studies
Forearm / blood supply
Humans
Kidney Failure, Chronic / surgery,  therapy*
Male
Middle Aged
Prospective Studies
Radial Artery / surgery
Regional Blood Flow
Renal Dialysis / methods*
Treatment Failure
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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