Factors predictive of failure of Brescia-Cimino arteriovenous fistulas
Objective: To evaluate patency rates of Brescia‐Cimino fistulas and to find out which independent factors were predictors of failure. Design: Retrospective clinical study. Setting: University hospital, The Netherlands. Subjects: 150 consecutive patients (mean age 56 years, range 17–80) who had 153 p...
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| Veröffentlicht in: | The European journal of surgery 2002-01, Vol.168 (1), p.29-36 |
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| container_title | The European journal of surgery |
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| creator | Zeebregts, Clark van den Dungen, Jan Bolt, Arjen Franssen, Casper Verhoeven, Eric van Schilfgaarde, Reinout |
| description | Objective:
To evaluate patency rates of Brescia‐Cimino fistulas and to find out which independent factors were predictors of failure.
Design:
Retrospective clinical study.
Setting:
University hospital, The Netherlands.
Subjects:
150 consecutive patients (mean age 56 years, range 17–80) who had 153 primary Brescia‐Cimino fistulas created during the 5‐year period January 1995‐December 1999.
Main outcome measures:
Patency rates calculated by the Kaplan‐Meier method and the possible predictive value of 20 different variables assessed by Cox's proportional hazard model.
Results:
The primary patency rate was 70% at 3 months, and 7 distinct factors were significantly associated with failure of the fistula. The ones with a hazard ratio (HR) for failure greater than 2.5 were: the start of dialysis before creation of the fistula (HR 2.79, p < 0.01), moderate or poor quality of both the artery (HR 2.54, p < 0.01) and vein (HR 3.55, p < 0.001), and postoperative use of acenocoumarol instead of acetylsalicylic acid (HR 3.14, p < 0.01).
Conclusion:
The major determinants for a successfully created Brescia‐Cimino fistula were creation of the fistula before the start of dialysis, as well as good quality of both the artery and the vein. This argues for timely creation of such fistulas in patients with end‐stage renal disease and for accurate preoperative examination to establish the quality of the vessels. Copyright © 2002 Taylor and Francis Ltd. |
| doi_str_mv | 10.1080/110241502317307544 |
| format | Article |
| fullrecord | <record><control><sourceid>wiley_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1080_110241502317307544</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>EJS101</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4271-ddb0367ad9490ed62658dfbb39960e1e8e4935db7360e120273b7be8cd1b7e733</originalsourceid><addsrcrecordid>eNqNkD1PwzAQhi0EoqXwBxhQFsaA7XPiZITSlo8CQ0GMlmM7kiFtKjsp9N_jkooOLEx3Jz3v3elB6JTgC4IzfEkIpowkmALhgHnC2B7qE85InFNO9kMfgDgQpIeOvH_HGBPg9BD1CMWUQpr10XgsVVM7Hy2d0VY1dmWiuoxKaavW_bTXznhlZTy0c7uoI-ka42y9Mou69VFpfdNW0h-jg1JW3pxs6wC9jkcvw9t4-jy5G15NY8XCS7HWBYaUS52zHBud0jTJdFkUkOcpNsRkhuWQ6ILDZgxPcih4YTKlScENBxgg2u1VrvbemVIsnZ1LtxYEi40U8VdKCJ11oWVbzI3eRbYWAnC-BaRXsiqdXCjrdxykFLpFacd92sqs_3FajO5nJEgfoLgLBl3m6zco3YdIOfBEvD1NBLufwcPNIwgG3-0ChxE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Factors predictive of failure of Brescia-Cimino arteriovenous fistulas</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Zeebregts, Clark ; van den Dungen, Jan ; Bolt, Arjen ; Franssen, Casper ; Verhoeven, Eric ; van Schilfgaarde, Reinout</creator><creatorcontrib>Zeebregts, Clark ; van den Dungen, Jan ; Bolt, Arjen ; Franssen, Casper ; Verhoeven, Eric ; van Schilfgaarde, Reinout</creatorcontrib><description>Objective:
To evaluate patency rates of Brescia‐Cimino fistulas and to find out which independent factors were predictors of failure.
Design:
Retrospective clinical study.
Setting:
University hospital, The Netherlands.
Subjects:
150 consecutive patients (mean age 56 years, range 17–80) who had 153 primary Brescia‐Cimino fistulas created during the 5‐year period January 1995‐December 1999.
Main outcome measures:
Patency rates calculated by the Kaplan‐Meier method and the possible predictive value of 20 different variables assessed by Cox's proportional hazard model.
Results:
The primary patency rate was 70% at 3 months, and 7 distinct factors were significantly associated with failure of the fistula. The ones with a hazard ratio (HR) for failure greater than 2.5 were: the start of dialysis before creation of the fistula (HR 2.79, p < 0.01), moderate or poor quality of both the artery (HR 2.54, p < 0.01) and vein (HR 3.55, p < 0.001), and postoperative use of acenocoumarol instead of acetylsalicylic acid (HR 3.14, p < 0.01).
Conclusion:
The major determinants for a successfully created Brescia‐Cimino fistula were creation of the fistula before the start of dialysis, as well as good quality of both the artery and the vein. This argues for timely creation of such fistulas in patients with end‐stage renal disease and for accurate preoperative examination to establish the quality of the vessels. Copyright © 2002 Taylor and Francis Ltd.</description><identifier>ISSN: 1102-4151</identifier><identifier>EISSN: 1741-9271</identifier><identifier>DOI: 10.1080/110241502317307544</identifier><identifier>PMID: 12022368</identifier><language>eng</language><publisher>UK: Taylor & Francis, Ltd</publisher><subject>Arm - blood supply ; Arteriovenous Shunt, Surgical ; Biological and medical sciences ; Brescia-Cimino fistula ; Diseases of the urinary system ; Female ; Graft Occlusion, Vascular - epidemiology ; haemodialysis ; Humans ; Kidney Failure, Chronic - therapy ; Male ; Medical sciences ; Middle Aged ; multivariate analysis ; patency ; Predictive Value of Tests ; prognostic factor ; Proportional Hazards Models ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Renal Dialysis ; Retrospective Studies ; Treatment Failure ; Vascular Patency</subject><ispartof>The European journal of surgery, 2002-01, Vol.168 (1), p.29-36</ispartof><rights>Copyright © 2002 Taylor and Francis Ltd</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4271-ddb0367ad9490ed62658dfbb39960e1e8e4935db7360e120273b7be8cd1b7e733</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4021,27921,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13623544$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12022368$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeebregts, Clark</creatorcontrib><creatorcontrib>van den Dungen, Jan</creatorcontrib><creatorcontrib>Bolt, Arjen</creatorcontrib><creatorcontrib>Franssen, Casper</creatorcontrib><creatorcontrib>Verhoeven, Eric</creatorcontrib><creatorcontrib>van Schilfgaarde, Reinout</creatorcontrib><title>Factors predictive of failure of Brescia-Cimino arteriovenous fistulas</title><title>The European journal of surgery</title><addtitle>Eur J Surg</addtitle><description>Objective:
To evaluate patency rates of Brescia‐Cimino fistulas and to find out which independent factors were predictors of failure.
Design:
Retrospective clinical study.
Setting:
University hospital, The Netherlands.
Subjects:
150 consecutive patients (mean age 56 years, range 17–80) who had 153 primary Brescia‐Cimino fistulas created during the 5‐year period January 1995‐December 1999.
Main outcome measures:
Patency rates calculated by the Kaplan‐Meier method and the possible predictive value of 20 different variables assessed by Cox's proportional hazard model.
Results:
The primary patency rate was 70% at 3 months, and 7 distinct factors were significantly associated with failure of the fistula. The ones with a hazard ratio (HR) for failure greater than 2.5 were: the start of dialysis before creation of the fistula (HR 2.79, p < 0.01), moderate or poor quality of both the artery (HR 2.54, p < 0.01) and vein (HR 3.55, p < 0.001), and postoperative use of acenocoumarol instead of acetylsalicylic acid (HR 3.14, p < 0.01).
Conclusion:
The major determinants for a successfully created Brescia‐Cimino fistula were creation of the fistula before the start of dialysis, as well as good quality of both the artery and the vein. This argues for timely creation of such fistulas in patients with end‐stage renal disease and for accurate preoperative examination to establish the quality of the vessels. Copyright © 2002 Taylor and Francis Ltd.</description><subject>Arm - blood supply</subject><subject>Arteriovenous Shunt, Surgical</subject><subject>Biological and medical sciences</subject><subject>Brescia-Cimino fistula</subject><subject>Diseases of the urinary system</subject><subject>Female</subject><subject>Graft Occlusion, Vascular - epidemiology</subject><subject>haemodialysis</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>multivariate analysis</subject><subject>patency</subject><subject>Predictive Value of Tests</subject><subject>prognostic factor</subject><subject>Proportional Hazards Models</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Renal Dialysis</subject><subject>Retrospective Studies</subject><subject>Treatment Failure</subject><subject>Vascular Patency</subject><issn>1102-4151</issn><issn>1741-9271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1PwzAQhi0EoqXwBxhQFsaA7XPiZITSlo8CQ0GMlmM7kiFtKjsp9N_jkooOLEx3Jz3v3elB6JTgC4IzfEkIpowkmALhgHnC2B7qE85InFNO9kMfgDgQpIeOvH_HGBPg9BD1CMWUQpr10XgsVVM7Hy2d0VY1dmWiuoxKaavW_bTXznhlZTy0c7uoI-ka42y9Mou69VFpfdNW0h-jg1JW3pxs6wC9jkcvw9t4-jy5G15NY8XCS7HWBYaUS52zHBud0jTJdFkUkOcpNsRkhuWQ6ILDZgxPcih4YTKlScENBxgg2u1VrvbemVIsnZ1LtxYEi40U8VdKCJ11oWVbzI3eRbYWAnC-BaRXsiqdXCjrdxykFLpFacd92sqs_3FajO5nJEgfoLgLBl3m6zco3YdIOfBEvD1NBLufwcPNIwgG3-0ChxE</recordid><startdate>200201</startdate><enddate>200201</enddate><creator>Zeebregts, Clark</creator><creator>van den Dungen, Jan</creator><creator>Bolt, Arjen</creator><creator>Franssen, Casper</creator><creator>Verhoeven, Eric</creator><creator>van Schilfgaarde, Reinout</creator><general>Taylor & Francis, Ltd</general><general>Taylor & Francis</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>200201</creationdate><title>Factors predictive of failure of Brescia-Cimino arteriovenous fistulas</title><author>Zeebregts, Clark ; van den Dungen, Jan ; Bolt, Arjen ; Franssen, Casper ; Verhoeven, Eric ; van Schilfgaarde, Reinout</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4271-ddb0367ad9490ed62658dfbb39960e1e8e4935db7360e120273b7be8cd1b7e733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Arm - blood supply</topic><topic>Arteriovenous Shunt, Surgical</topic><topic>Biological and medical sciences</topic><topic>Brescia-Cimino fistula</topic><topic>Diseases of the urinary system</topic><topic>Female</topic><topic>Graft Occlusion, Vascular - epidemiology</topic><topic>haemodialysis</topic><topic>Humans</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>multivariate analysis</topic><topic>patency</topic><topic>Predictive Value of Tests</topic><topic>prognostic factor</topic><topic>Proportional Hazards Models</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Renal Dialysis</topic><topic>Retrospective Studies</topic><topic>Treatment Failure</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeebregts, Clark</creatorcontrib><creatorcontrib>van den Dungen, Jan</creatorcontrib><creatorcontrib>Bolt, Arjen</creatorcontrib><creatorcontrib>Franssen, Casper</creatorcontrib><creatorcontrib>Verhoeven, Eric</creatorcontrib><creatorcontrib>van Schilfgaarde, Reinout</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The European journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeebregts, Clark</au><au>van den Dungen, Jan</au><au>Bolt, Arjen</au><au>Franssen, Casper</au><au>Verhoeven, Eric</au><au>van Schilfgaarde, Reinout</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors predictive of failure of Brescia-Cimino arteriovenous fistulas</atitle><jtitle>The European journal of surgery</jtitle><addtitle>Eur J Surg</addtitle><date>2002-01</date><risdate>2002</risdate><volume>168</volume><issue>1</issue><spage>29</spage><epage>36</epage><pages>29-36</pages><issn>1102-4151</issn><eissn>1741-9271</eissn><abstract>Objective:
To evaluate patency rates of Brescia‐Cimino fistulas and to find out which independent factors were predictors of failure.
Design:
Retrospective clinical study.
Setting:
University hospital, The Netherlands.
Subjects:
150 consecutive patients (mean age 56 years, range 17–80) who had 153 primary Brescia‐Cimino fistulas created during the 5‐year period January 1995‐December 1999.
Main outcome measures:
Patency rates calculated by the Kaplan‐Meier method and the possible predictive value of 20 different variables assessed by Cox's proportional hazard model.
Results:
The primary patency rate was 70% at 3 months, and 7 distinct factors were significantly associated with failure of the fistula. The ones with a hazard ratio (HR) for failure greater than 2.5 were: the start of dialysis before creation of the fistula (HR 2.79, p < 0.01), moderate or poor quality of both the artery (HR 2.54, p < 0.01) and vein (HR 3.55, p < 0.001), and postoperative use of acenocoumarol instead of acetylsalicylic acid (HR 3.14, p < 0.01).
Conclusion:
The major determinants for a successfully created Brescia‐Cimino fistula were creation of the fistula before the start of dialysis, as well as good quality of both the artery and the vein. This argues for timely creation of such fistulas in patients with end‐stage renal disease and for accurate preoperative examination to establish the quality of the vessels. Copyright © 2002 Taylor and Francis Ltd.</abstract><cop>UK</cop><pub>Taylor & Francis, Ltd</pub><pmid>12022368</pmid><doi>10.1080/110241502317307544</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The European journal of surgery, 2002-01, Vol.168 (1), p.29-36 |
| issn | 1102-4151 1741-9271 |
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| recordid | cdi_crossref_primary_10_1080_110241502317307544 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Arm - blood supply Arteriovenous Shunt, Surgical Biological and medical sciences Brescia-Cimino fistula Diseases of the urinary system Female Graft Occlusion, Vascular - epidemiology haemodialysis Humans Kidney Failure, Chronic - therapy Male Medical sciences Middle Aged multivariate analysis patency Predictive Value of Tests prognostic factor Proportional Hazards Models Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Renal Dialysis Retrospective Studies Treatment Failure Vascular Patency |
| title | Factors predictive of failure of Brescia-Cimino arteriovenous fistulas |
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