Evaluation of primary failure in native AV-fistulae (early fistula failure)

Hemodialysis International
Seiji OhiraTakashi Imura

Abstract

The most preferable method of vascular access (VA) in maintenance hemodialysis is a native arteriovenous fistula (AVF). Advanced age as well as the rapid increase in underlying diseases such as diabetic nephropathy and nephrosclerosis in these patients also means that the veins and arteries used to establish the AVF have undergone vascular damage, making construction of an AVF more difficult compared with earlier construction. Although there are various conditions under which arterial superficialization or AV graft must be chosen, it remains the rule that the first choice for VA should be AVF whenever possible. To improve postoperative results, it is necessary to reduce malfunctions immediately following surgery. We conducted a survey of 23 dialysis facilities throughout Japan and analyzed data from the past 3 years regarding the functionality of the AVF at initial puncture following construction of 5007 examples of newly constructed AVFs. Upon initial puncture, primary failure (PF) is defined as those cases in which thrombosis or inadequate blood flow occur. Primary failure occurred in 7.6% of the cases in this series, but there was a wide distribution of PF, 0.8% to 23.6%, because of differences in quality among facilities. T...Continue Reading

References

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Citations

Oct 21, 2015·Kidney Research and Clinical Practice·Ju-Young MoonSug-Gyun Shin
Aug 30, 2014·Hemodialysis International·Dilek Gibyeli GenekTaner Camsari
May 1, 2007·Journal of Vascular Surgery·Henricus J T A M HuijbregtsUNKNOWN CIMINO members
May 22, 2016·Seminars in Dialysis·Gerald A Beathard
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Mar 4, 2017·International Urology and Nephrology·Wanjun RenDongmei Xu
Nov 4, 2017·Seminars in Dialysis·Chance S DumaineRobert R Quinn
Oct 22, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·David A GoodkinRajiv Saran

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