Investigating clinical predictors of arteriovenous fistula functional patency in a European cohort

Clinical Kidney Journal
Agnes MasenguJennifer B Hanko

Abstract

Arteriovenous fistula (AVF) failure to mature (FTM) rates contribute to excessive dependence on central venous catheters for haemodialysis. Choosing the most appropriate vascular access site for an individual patient is guided largely by their age, co-morbidities and clinical examination. We investigated the clinical predictors of AVF FTM in a European cohort of patients and applied an existing clinical risk prediction model for AVF FTM to this population. A prospective cohort study was designed that included all patients undergoing AVF creation between January 2009 and December 2014 in a single centre (Belfast City Hospital) who had a functional AVF outcome observed by March 2015. A total of 525 patients had a functional AVF outcome recorded and were included in the FTM analysis. In this cohort, 309 (59%) patients achieved functional AVF patency and 216 (41%) patients had FTM. Female gender [P < 0.001, odds ratio (OR) 2.03 (CI 1.37-3.02)] and lower-arm AVF [P < 0.001, OR 4.07 (CI 2.77-5.92)] were associated with AVF FTM. The Lok model did not predict FTM outcomes based on the associated risk stratification in our population. In this European study, female gender was associated with twice the risk of AVF FTM and a lower-arm AVF...Continue Reading

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Citations

Dec 1, 2017·World Journal of Surgery·Bram M VoorzaatUNKNOWN Dutch Vascular Access Study Group
Mar 16, 2017·The Journal of Vascular Access·Agnes Masengu, Jennifer Hanko
Mar 16, 2017·The Journal of Vascular Access·Niek ZonnebeldJan H M Tordoir
Aug 5, 2017·The Journal of Vascular Access·Ali Kordzadeh, Yiannis P Panayiotopolous
Jul 13, 2018·The International Journal of Artificial Organs·Michela BozzettoAndrea Remuzzi
Aug 4, 2018·The Journal of Vascular Access·Martin SödermanLene L Clausen
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Jan 9, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Niek ZonnebeldJan H M Tordoir
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May 13, 2021·The Journal of Vascular Access·Manas Ranjan BeheraSantosh Varughese
Jul 24, 2021·Journal of Vascular Surgery·Isibor J ArhuideseMahmoud B Malas

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