Retrospective review of arteriovenous fistula success rate in a multi-ethnic Asian population

The Journal of Vascular Access
Kyi Z ThantPei Ho

Abstract

Native vein arteriovenous fistulas (AVFs) are the recommended first-line vascular access in hemodialysis patients. Despite this, AVFs are plagued with unfavorable maturation rates. We conducted a retrospective cohort study to assess the AVF success rate and to identify any significant associating factors. Demographic and clinical data of all AVFs created from January 2011 to June 2013 at a single center with a multi-ethnic Asian population, were reviewed. The primary outcome was AVF successfully used for hemodialysis (FUSH) at 6 months. Secondary endpoints were the overall FUSH and actual maturation time of the AVFs. Univariate and multivariate analyses were performed to identify factors associated with AVF success. A total of 375 fistulas were created during the study period (110 radiocephalic, 176 brachiocephalic, 89 brachiobasilic). The mean age was 59.4 ± 12.6 years and 42.9% were females. Seventy-one percent of patients had diabetes, 32.5% had ischemic heart disease and 10.7% had peripheral vascular disease. 246/375 (65.6%) AVFs FUSH by 6 months, and the average AVF maturation time was 16.1 ± 10.7 weeks. Of the 246 AVFs, 11% required secondary procedure to assist their success. Univariate analysis showed that gender (p = 0...Continue Reading

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Citations

Aug 16, 2016·The Journal of Vascular Access·Zhiwen Joseph LoSriram Narayanan
Mar 10, 2016·The Journal of Vascular Access·Ingemar DavidsonDouglas Slakey
Sep 27, 2019·The Journal of Vascular Access·Suh Chien PangChieh Suai Tan
Oct 14, 2018·Journal of Vascular Surgery·Georg P GyöriGabriela A Berlakovich

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Methods Mentioned

BETA
percutaneous transluminal angioplasty

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