Please use this identifier to cite or link to this item:
https://doi.org/10.5301/jva.5000495
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dc.title | Retrospective review of arteriovenous fistula success rate in a multi-ethnic Asian population | |
dc.contributor.author | Thant, KZ | |
dc.contributor.author | Quah, K | |
dc.contributor.author | Ng, TK | |
dc.contributor.author | Ho, P | |
dc.date.accessioned | 2021-11-22T10:53:30Z | |
dc.date.available | 2021-11-22T10:53:30Z | |
dc.date.issued | 2016-03-01 | |
dc.identifier.citation | Thant, KZ, Quah, K, Ng, TK, Ho, P (2016-03-01). Retrospective review of arteriovenous fistula success rate in a multi-ethnic Asian population. Journal of Vascular Access 17 (2) : 131-137. ScholarBank@NUS Repository. https://doi.org/10.5301/jva.5000495 | |
dc.identifier.issn | 11297298 | |
dc.identifier.issn | 17246032 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/207159 | |
dc.description.abstract | Background: 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. Methodology: 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. Results: 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 = 0.035), age (p = 0.018), vein size on pre-operative vein mapping (p = 0.004) and operating surgeon (p = 0.021) were significant factors associated with AVF success. On multivariate analysis, age, pre-operative vein size and operating surgeon were significantly associated with fistula success. Conclusions: Reasonable FUSH rates can be achieved in the study patients. Patient age, pre-operative vein mapping size and operating surgeon were shown to influence AVF success rate. | |
dc.publisher | SAGE Publications | |
dc.source | Elements | |
dc.subject | Adolescent | |
dc.subject | Adult | |
dc.subject | Age Factors | |
dc.subject | Aged | |
dc.subject | Aged, 80 and over | |
dc.subject | Arteriovenous Shunt, Surgical | |
dc.subject | Asian Continental Ancestry Group | |
dc.subject | Chi-Square Distribution | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Logistic Models | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Multivariate Analysis | |
dc.subject | Phlebography | |
dc.subject | Renal Dialysis | |
dc.subject | Retrospective Studies | |
dc.subject | Risk Factors | |
dc.subject | Singapore | |
dc.subject | Surgeons | |
dc.subject | Time Factors | |
dc.subject | Treatment Outcome | |
dc.subject | Ultrasonography, Doppler, Duplex | |
dc.subject | Upper Extremity | |
dc.subject | Vascular Patency | |
dc.subject | Veins | |
dc.subject | Young Adult | |
dc.type | Review | |
dc.date.updated | 2021-11-16T13:37:39Z | |
dc.contributor.department | SURGERY | |
dc.description.doi | 10.5301/jva.5000495 | |
dc.description.sourcetitle | Journal of Vascular Access | |
dc.description.volume | 17 | |
dc.description.issue | 2 | |
dc.description.page | 131-137 | |
dc.published.state | Published | |
Appears in Collections: | Elements Staff Publications |
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Retrospective review of arteriovenous fistula success rate in a multi-ethnic Asian population.pdf | 446.51 kB | Adobe PDF | CLOSED | Published |
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