Natural History of Common Autologous Arteriovenous Fistulae: Consequences for Planning of Dialysis

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Teun WilminkI Dasgupta

Abstract

The aim was to study primary failure, maturation times, and survival of common arteriovenous fistulae (AVF) to aid planning for vascular access, and to assess which strategy results in most dialysis days. This was a longitudinal cohort study. Two databases of access operations and dialysis sessions over 9 years with 12-year follow-up were reviewed. Functional dialysis use is defined as achieving six consecutive dialysis sessions with two needles on AVF. Primary failure (PF) is failure to achieve functional dialysis use. Maturation time, calculated only for patients on dialysis with a central line at AVF operation, is defined from the operation date to the functional dialysis date. Cumulative patency, including PF, is calculated from the operation to date of AVF abandonment and is compared using Kaplan–Meier curves and adjusted hazard ratios (HRs). A total of 1206 AVF, 689 (57%) radiocephalic AVF (RCAVF), 383 (32%) brachiocephalic AVF (BCAVF), and 134 (11%) brachiobasilic AVF (BBAVF), were analysed. PF was 23%. PF was lower for BCAVF (17%) than RCAVF (26%) and BBAVF (26%) (p = .006). PF was higher for women (OR 1.59, 95% CI: 1.21–2.09) and patients with vascular kidney disease (OR 1.69, 95% CI: 1.19–2.59). Median maturation time...Continue Reading

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Citations

Mar 11, 2017·Techniques in Vascular and Interventional Radiology·Adrian SequeiraTushar J Vachharajani
Nov 18, 2017·The Journal of Vascular Access·Afram AkturkMirza M Idu
Mar 29, 2018·The Journal of Vascular Access·Maciej ZielinskiGrzegorz Oszkinis
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Mar 8, 2018·The Journal of Vascular Access·Gary LambertTeun Wilmink
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Oct 6, 2021·Journal of Vascular and Interventional Radiology : JVIR·Panagiotis M KitrouDimitrios Karnabatidis

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