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Factors associated with early failure of arteriovenous fistulae for haemodialysis access
Open accessAbstract
The radiocephalic arteriovenous fistula remains the method of choice for haemodialysis access. In order to assess their suitability for fistula formation, the radial arteries and cephalic veins were examined preoperatively by ultrasound colour flow scanner in conjunction with a pulse-generated run-off system. Intraoperative blood flow was measured after construction of the fistulae. Post-operative follow-up was performed at various intervals to monitor the development of the fistulae. Radial artery and cephalic vein diameter less than 1.6 mm was associated with early fistula failure. The intraoperative fistula blood flow did not correlate with the outcome of the operation probably due to vessel spasm from manipulation. However, blood flow velocities measured non-invasively 1 day after the operation were significantly lower in fistulae that failed early compared with those that were adequate for haemodialysis. Most of the increase in fistula diameter and blood flow occur within the first 2 weeks of surgery.
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Citations
Cited by
KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update
Lok, C. E., Huber, T. S., Lee, T., Shenoy, S., Yevzlin, A. S., Abreo, K., Allon, M., Asif, A., Astor, B. C., Glickman, M. H., et al. (2020) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2019.12.001 · Cited by 2,590
Native arteriovenous fistula: Preoperative evaluation
Malovrh, M. (2002) · American Journal of Kidney Diseases · doi:10.1053/ajkd.2002.33394 · Cited by 351
Guía Clínica Española del Acceso Vascular para Hemodiálisis
Ibeas, J., Roca-Tey, R., Vallespín, J., Moreno, T., Moñux, G., Martí-Monrós, A., del Pozo, J. L., Gruss, E., Ramírez de Arellano, M., Fontseré, N., et al. (2017) · Nefrología · doi:10.1016/j.nefro.2017.11.004 · Cited by 214
Arteriovenous fistula maturation: physical exam versus flow study
Caputo, B. C., Leong, B., Sibona, A., Jhajj, S., Kohne, C., Gabel, J., Shih, W., Abou Zamzam, A., Bianchi, C., & Teruya, T. (2021) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2021.05.022 · Cited by 14
Metadata
- Authors
- Wong, V., Ward, R., Taylor, J., Selvakumar, S., How, T. V., & Bakran, A.
- Venue
- European Journal of Vascular and Endovascular Surgery
- Publisher
- Elsevier BV
- Published
- 1996-08
- Volume
- 12
- Issue
- 2
- Pages
- 207-213
- ISSN
- 1078-5884 (ISSN-L)
- OpenAlex
- W2089915351
- Cited by
- 428
- References
- 0
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Wong, V., Ward, R., Taylor, J., Selvakumar, S., How, T. V., & Bakran, A. (1996). Factors associated with early failure of arteriovenous fistulae for haemodialysis access. European Journal of Vascular and Endovascular Surgery. https://doi.org/10.1016/s1078-5884(96)80108-0
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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