Outcome of Permanent Vascular Access with Vein ≤ 2.2 mm in Diameter
Objective End-stage renal disease patients with vein diameter of ≤2.2 mm can undergo autogenous arteriovenous fistula (AVF) formation with the acceptable results. Methods This observational retrospective study of prospectively collected data analyzed end-stage renal disease patients with a vein diam...
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| Veröffentlicht in: | World journal of surgery 2020-08, Vol.44 (8), p.2813-2818 |
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| creator | Hussain, Tahir Farooqui, Fareeha |
| description | Objective
End-stage renal disease patients with vein diameter of ≤2.2 mm can undergo autogenous arteriovenous fistula (AVF) formation with the acceptable results.
Methods
This observational retrospective study of prospectively collected data analyzed end-stage renal disease patients with a vein diameter of ≤ 2.2 mm, who underwent AVF formation at Shifa International Hospital Islamabad from January 2009 to December 2017. The fistulae were observed for immediate success and maturity at 3 months. The chi-square test was used to determine the effect of vein diameter on final maturity. All data were analyzed using SPSS.
Results
The total number of patients with vein diameter of ≤2.2 mm was 38, with a mean age of 46.76 ± 12.790 years. Vein diameters ranged from 1.6 to 2.2 mm. Immediate success was observed in 35 (92.1%) cases. Veins of 31 (81.6%) patients showing maturity at 3 months and were used for hemodialysis. The overall success rate for the small caliber veins was 82%.
Conclusion
Although end-stage renal disease patients present late with very small diameter veins, these veins should still be accommodated for permanent vascular access, because their maturity rates are still acceptable, even though these are lower than those of patients with adequate sized veins. |
| doi_str_mv | 10.1007/s00268-020-05540-z |
| format | Article |
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End-stage renal disease patients with vein diameter of ≤2.2 mm can undergo autogenous arteriovenous fistula (AVF) formation with the acceptable results.
Methods
This observational retrospective study of prospectively collected data analyzed end-stage renal disease patients with a vein diameter of ≤ 2.2 mm, who underwent AVF formation at Shifa International Hospital Islamabad from January 2009 to December 2017. The fistulae were observed for immediate success and maturity at 3 months. The chi-square test was used to determine the effect of vein diameter on final maturity. All data were analyzed using SPSS.
Results
The total number of patients with vein diameter of ≤2.2 mm was 38, with a mean age of 46.76 ± 12.790 years. Vein diameters ranged from 1.6 to 2.2 mm. Immediate success was observed in 35 (92.1%) cases. Veins of 31 (81.6%) patients showing maturity at 3 months and were used for hemodialysis. The overall success rate for the small caliber veins was 82%.
Conclusion
Although end-stage renal disease patients present late with very small diameter veins, these veins should still be accommodated for permanent vascular access, because their maturity rates are still acceptable, even though these are lower than those of patients with adequate sized veins.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-020-05540-z</identifier><identifier>PMID: 32335694</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Arteriovenous Shunt, Surgical - methods ; Cardiac Surgery ; Chi-square test ; Data analysis ; Data collection ; End-stage renal disease ; Female ; Fistulae ; General Surgery ; Hemodialysis ; Humans ; Kidney diseases ; Kidney Failure, Chronic - therapy ; Male ; Maturity ; Medicine ; Medicine & Public Health ; Middle Aged ; Organ Size ; Outpatient care facilities ; Renal Dialysis - methods ; Retrospective Studies ; Statistical tests ; Success ; Surgery ; Surgery in Low and Middle Income Countries ; Thoracic Surgery ; Time Factors ; Treatment Outcome ; Vascular Patency ; Vascular Surgery ; Veins - pathology ; Veins - surgery ; Venous access</subject><ispartof>World journal of surgery, 2020-08, Vol.44 (8), p.2813-2818</ispartof><rights>Société Internationale de Chirurgie 2020</rights><rights>2020 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4267-400fa04e9d485d4c48851153a2a513b156c98be34a5016204a0f2a58ad8353a93</citedby><cites>FETCH-LOGICAL-c4267-400fa04e9d485d4c48851153a2a513b156c98be34a5016204a0f2a58ad8353a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-020-05540-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-020-05540-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32335694$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hussain, Tahir</creatorcontrib><creatorcontrib>Farooqui, Fareeha</creatorcontrib><title>Outcome of Permanent Vascular Access with Vein ≤ 2.2 mm in Diameter</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Objective
End-stage renal disease patients with vein diameter of ≤2.2 mm can undergo autogenous arteriovenous fistula (AVF) formation with the acceptable results.
Methods
This observational retrospective study of prospectively collected data analyzed end-stage renal disease patients with a vein diameter of ≤ 2.2 mm, who underwent AVF formation at Shifa International Hospital Islamabad from January 2009 to December 2017. The fistulae were observed for immediate success and maturity at 3 months. The chi-square test was used to determine the effect of vein diameter on final maturity. All data were analyzed using SPSS.
Results
The total number of patients with vein diameter of ≤2.2 mm was 38, with a mean age of 46.76 ± 12.790 years. Vein diameters ranged from 1.6 to 2.2 mm. Immediate success was observed in 35 (92.1%) cases. Veins of 31 (81.6%) patients showing maturity at 3 months and were used for hemodialysis. The overall success rate for the small caliber veins was 82%.
Conclusion
Although end-stage renal disease patients present late with very small diameter veins, these veins should still be accommodated for permanent vascular access, because their maturity rates are still acceptable, even though these are lower than those of patients with adequate sized veins.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Arteriovenous Shunt, Surgical - methods</subject><subject>Cardiac Surgery</subject><subject>Chi-square test</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>End-stage renal disease</subject><subject>Female</subject><subject>Fistulae</subject><subject>General Surgery</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Maturity</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Organ Size</subject><subject>Outpatient care facilities</subject><subject>Renal Dialysis - methods</subject><subject>Retrospective Studies</subject><subject>Statistical tests</subject><subject>Success</subject><subject>Surgery</subject><subject>Surgery in Low and Middle Income Countries</subject><subject>Thoracic Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><subject>Vascular Surgery</subject><subject>Veins - pathology</subject><subject>Veins - surgery</subject><subject>Venous access</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkDlOAzEYhS0EghC4AAUaiYZm4PcaDx1bWIQEEltpOY4HBs0C9oyipKLNLSg4CUfhJBiGRaJANF70f-_9Tw-hFQwbGKC36QGIkDEQiIFzBvFkBnUwoyQmlNBZ1AEqWHhjuoAWvb8DwD0BYh4thDHlImEddHza1KYqbFSl0Zl1hS5tWUdX2psm1y7aNsZ6H42y-ja6sln5-jh9nT6Hk2yQl6eiiLIy2st0YWvrltBcqnNvlz_vLrrs71_sHsYnpwdHu9snsWFE9GIGkGpgNhkyyYfMMCk5xpxqojmmA8yFSeTAUqY5YEGAaUjDSOqhpIFKaBett773rnporK9VkXlj8zxkrxqvCE044ZKLXkDXfqF3VePKkE4RhmXYHMBAkZYyrvLe2VTdu6zQbqwwqPemVdu0Ck2rj6bVJIhWP62bQWGH35KvagOw1QKjLLfjf1iq6-PznT6E33tw2op90JU31v0E_yPTG_ykmuE</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Hussain, Tahir</creator><creator>Farooqui, Fareeha</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202008</creationdate><title>Outcome of Permanent Vascular Access with Vein ≤ 2.2 mm in Diameter</title><author>Hussain, Tahir ; Farooqui, Fareeha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4267-400fa04e9d485d4c48851153a2a513b156c98be34a5016204a0f2a58ad8353a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Arteriovenous Shunt, Surgical - methods</topic><topic>Cardiac Surgery</topic><topic>Chi-square test</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>End-stage renal disease</topic><topic>Female</topic><topic>Fistulae</topic><topic>General Surgery</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Maturity</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Organ Size</topic><topic>Outpatient care facilities</topic><topic>Renal Dialysis - methods</topic><topic>Retrospective Studies</topic><topic>Statistical tests</topic><topic>Success</topic><topic>Surgery</topic><topic>Surgery in Low and Middle Income Countries</topic><topic>Thoracic Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><topic>Vascular Surgery</topic><topic>Veins - pathology</topic><topic>Veins - surgery</topic><topic>Venous access</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hussain, Tahir</creatorcontrib><creatorcontrib>Farooqui, Fareeha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hussain, Tahir</au><au>Farooqui, Fareeha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of Permanent Vascular Access with Vein ≤ 2.2 mm in Diameter</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2020-08</date><risdate>2020</risdate><volume>44</volume><issue>8</issue><spage>2813</spage><epage>2818</epage><pages>2813-2818</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Objective
End-stage renal disease patients with vein diameter of ≤2.2 mm can undergo autogenous arteriovenous fistula (AVF) formation with the acceptable results.
Methods
This observational retrospective study of prospectively collected data analyzed end-stage renal disease patients with a vein diameter of ≤ 2.2 mm, who underwent AVF formation at Shifa International Hospital Islamabad from January 2009 to December 2017. The fistulae were observed for immediate success and maturity at 3 months. The chi-square test was used to determine the effect of vein diameter on final maturity. All data were analyzed using SPSS.
Results
The total number of patients with vein diameter of ≤2.2 mm was 38, with a mean age of 46.76 ± 12.790 years. Vein diameters ranged from 1.6 to 2.2 mm. Immediate success was observed in 35 (92.1%) cases. Veins of 31 (81.6%) patients showing maturity at 3 months and were used for hemodialysis. The overall success rate for the small caliber veins was 82%.
Conclusion
Although end-stage renal disease patients present late with very small diameter veins, these veins should still be accommodated for permanent vascular access, because their maturity rates are still acceptable, even though these are lower than those of patients with adequate sized veins.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32335694</pmid><doi>10.1007/s00268-020-05540-z</doi><tpages>6</tpages></addata></record> |
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| subjects | Abdominal Surgery Adult Aged Arteriovenous Shunt, Surgical - methods Cardiac Surgery Chi-square test Data analysis Data collection End-stage renal disease Female Fistulae General Surgery Hemodialysis Humans Kidney diseases Kidney Failure, Chronic - therapy Male Maturity Medicine Medicine & Public Health Middle Aged Organ Size Outpatient care facilities Renal Dialysis - methods Retrospective Studies Statistical tests Success Surgery Surgery in Low and Middle Income Countries Thoracic Surgery Time Factors Treatment Outcome Vascular Patency Vascular Surgery Veins - pathology Veins - surgery Venous access |
| title | Outcome of Permanent Vascular Access with Vein ≤ 2.2 mm in Diameter |
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