Predictive Factors for Unsuccessful Use of Arteriovenous Fistula in a Population of End-Stage Renal Disease Patients in Southeastern Mexico

Autor: Gustavo Martínez-Mier, Cecilia Camargo-Diaz, Marco Antonio Urbina-Velazquez, Sandro F Ávila-Pardo
Rok vydání: 2019
Předmět:
Adult
Male
congenital
hereditary
and neonatal diseases and abnormalities
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Population
Arteriovenous fistula
Serum Albumin
Human
030204 cardiovascular system & hematology
Risk Assessment
030218 nuclear medicine & medical imaging
End stage renal disease
03 medical and health sciences
Young Adult
0302 clinical medicine
Arteriovenous Shunt
Surgical
Renal Dialysis
Risk Factors
medicine
Humans
cardiovascular diseases
Treatment Failure
education
Blood Coagulation
Mexico
Dialysis
Aged
Retrospective Studies
Prothrombin time
education.field_of_study
Univariate analysis
medicine.diagnostic_test
business.industry
Retrospective cohort study
General Medicine
Middle Aged
medicine.disease
Surgery
Prothrombin Time
Kidney Failure
Chronic
Female
Hemodialysis
Cardiology and Cardiovascular Medicine
business
Biomarkers
Zdroj: Annals of vascular surgery. 62
ISSN: 1615-5947
Popis: Background An arteriovenous fistula (AVF) is the preferred vascular access for long-term hemodialysis. The main disadvantage of AVF is the rate of nonmaturation or unsuccessful use for hemodialysis (FUHD). We described our findings in AVF creation and possible risk factors associated with FUHD. Methods This is a retrospective study of AVFs during a 6-year period. Variables collected at the time of creation were demographics, comorbidities, replacement therapy, preoperative laboratory tests, and estimated 6-month mortality on hemodialysis. All AVFs were created in the upper arms. Outcomes were FUHD, cannulation failure, and cumulative survival. Univariate and multivariate analyses were performed to find possible risk factors for FUHD. Results AVFs were created in 78 patients. Average age was 36.3 years, and 74.4% were male. Mean body mass index was 24.5 kg/m2. The most common etiologies were glomerulopathy (53.6%) and diabetes mellitus (13.4%). Estimated six-month mortality was 4.2%. One patient underwent AVF before hemodialysis (mean dialysis time 2.2 years). Nineteen AVFs were considered FUHD (23.2%). Cannulation failure was 15.9%. AVF 1-year and 3-year survival was 67.8% and 63.5%, respectively. FUHD had higher estimated six-month mortality on hemodialysis, shorter prothrombin time, and lower serum albumin level than successful AVF (univariate analysis) (P Conclusions The population referred for AVF creation possesses different characteristics in our center. Good AVF outcomes can be achieved. Preoperative serum albumin level and prothrombin time could be the possible risk factors associated with unsuccessful AVF use.
Databáze: OpenAIRE
Externí odkaz: