The Association of Lower Perioperative Mean Arterial Pressure and Primary Failure in Distal Radiocephalic Arteriovenous Fistula Operations.

Autor:	Özhan, Abdulkerim, Bademci, Mehmet Şenel, Kocaaslan, Cemal, Bayraktar, Fatih Avni, Öztekin, Ahmet, Karamanlı, Defne Cansu, Uslu, Ömer Arda, Baştopçu, Murat, Aydın, Ebuzer
Předmět:	PERIOPERATIVE care STATISTICS BLOOD pressure CHRONIC kidney failure TIME ARTERIAL pressure RETROSPECTIVE studies TREATMENT failure ARTERIOVENOUS fistula T-test (Statistics) VASCULAR resistance SURGICAL arteriovenous shunts DESCRIPTIVE statistics CHI-squared test LOGISTIC regression analysis DATA analysis software
Zdroj:	Haydarpasa Numune Medical Journal; Jul-Sep2023, Vol. 6 Issue 3, p299-304, 6p
Abstrakt:	Introduction: Arteriovenous fistula (AVF) is the recommended vascular access type for hemodialysis-dependent patients. Although the patency rates are respectable, primary failure is still a challenge. We aimed to investigate the association between lower perioperative mean arterial pressure and primary failure in distal radiocephalic AVF operations. Methods: A total of 141 patients who underwent distal radiocephalic AVF operation were retrospectively investigated (70 females, mean age: 48.0±5.5). The patients were divided into two groups according to the average value of the perioperative mean arterial pressure measurements. Risk factors were compared between groups. Results: No difference was found between groups in terms of baseline characteristics and risk factors. The primary failure was found to be higher in the lower perioperative mean arterial pressure group (17% vs. 34%, p=0.030). Risk factors for primary failure were taken into univariate logistic regression analysis, and none were found significant. Discussion and Conclusion: Our study revealed that lower mean arterial pressure in the perioperative period is associated with a higher primary failure rate for distal radiocephalic AVFs. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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