Mid-term cumulative patency of fistula and PTFE grafts among hemodialysis patients: A retrospective, single-center study from Palestine
Background: Due to the long waiting time for kidney transplantation, most End-Stage renal disease patients are commenced on either hemodialysis or peritoneal dialysis. Reusable fistulas have the lowest risk for death, cardiovascular events, and infections among all vascular accesses. This study aims...
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| Veröffentlicht in: | The journal of vascular access 2023-07, Vol.24 (4), p.559-567 |
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| container_title | The journal of vascular access |
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| creator | Khanfar, Obada Aydi, Ramadan Saada, Sultan Shehada, Mohammad Hamdan, Zakaria Sawalmeh, Osama Hassan, Mohannad Hammoudi, Ahmad Nazzal, Zaher |
| description | Background:
Due to the long waiting time for kidney transplantation, most End-Stage renal disease patients are commenced on either hemodialysis or peritoneal dialysis. Reusable fistulas have the lowest risk for death, cardiovascular events, and infections among all vascular accesses. This study aims to report the outcomes of the arteriovenous fistulas and PTFE grafts and the related predictive clinical and demographic variables.
Methods:
This retrospective study reviewed the charts of all hemodialysis patients between January 2017 and January 2021 at the Dialysis Center of An-Najah National University Hospital, Nablus, Palestine. Our outcomes were a primary failure, primary and secondary patency, and the related factors. Survival analysis using the Kaplan-Meier method was conducted, and the log-rank test was used to compare patency rates. The Cox proportional hazards regression model tested factors relevant to primary and secondary patency rates in univariate and multivariate analyses.
Results:
A total of 312 procedures were performed during the study period. Primary failure was 7.1% for AVF, 13.9% for arterio-venous graft (AVG) procedures. Peripheral arterial disease and left-sided AVF were associated with more primary failure rates. AVF, primary patency rates at 1, 2, and 3 years were 82%, 69%, and 59%, respectively, while secondary patency rates at 1, 2, and 3 years were 85%, 72%, and 63%, respectively. Factors associated with increased AVF patency in a proportional hazard model were younger age and dual antiplatelet administration.
Conclusion:
Our study adds further evidence that autogenous AVF has better results than prosthetic AVG in both primary and secondary patency rates as well as less primary failure rates. Therefore, we encourage further longitudinal studies that assess the benefits of using antiplatelet on AVF outcome versus risks of bleeding, especially with dual agents. |
| doi_str_mv | 10.1177/11297298211040988 |
| format | Article |
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Due to the long waiting time for kidney transplantation, most End-Stage renal disease patients are commenced on either hemodialysis or peritoneal dialysis. Reusable fistulas have the lowest risk for death, cardiovascular events, and infections among all vascular accesses. This study aims to report the outcomes of the arteriovenous fistulas and PTFE grafts and the related predictive clinical and demographic variables.
Methods:
This retrospective study reviewed the charts of all hemodialysis patients between January 2017 and January 2021 at the Dialysis Center of An-Najah National University Hospital, Nablus, Palestine. Our outcomes were a primary failure, primary and secondary patency, and the related factors. Survival analysis using the Kaplan-Meier method was conducted, and the log-rank test was used to compare patency rates. The Cox proportional hazards regression model tested factors relevant to primary and secondary patency rates in univariate and multivariate analyses.
Results:
A total of 312 procedures were performed during the study period. Primary failure was 7.1% for AVF, 13.9% for arterio-venous graft (AVG) procedures. Peripheral arterial disease and left-sided AVF were associated with more primary failure rates. AVF, primary patency rates at 1, 2, and 3 years were 82%, 69%, and 59%, respectively, while secondary patency rates at 1, 2, and 3 years were 85%, 72%, and 63%, respectively. Factors associated with increased AVF patency in a proportional hazard model were younger age and dual antiplatelet administration.
Conclusion:
Our study adds further evidence that autogenous AVF has better results than prosthetic AVG in both primary and secondary patency rates as well as less primary failure rates. Therefore, we encourage further longitudinal studies that assess the benefits of using antiplatelet on AVF outcome versus risks of bleeding, especially with dual agents.</description><identifier>ISSN: 1129-7298</identifier><identifier>EISSN: 1724-6032</identifier><identifier>DOI: 10.1177/11297298211040988</identifier><identifier>PMID: 34431381</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>The journal of vascular access, 2023-07, Vol.24 (4), p.559-567</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-f21f04ea751bc48ee7de3c1d3696742835ba744f1b6e18385f919944dfc620e03</cites><orcidid>0000-0002-2655-6109 ; 0000-0002-5733-2589</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/11297298211040988$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/11297298211040988$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34431381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khanfar, Obada</creatorcontrib><creatorcontrib>Aydi, Ramadan</creatorcontrib><creatorcontrib>Saada, Sultan</creatorcontrib><creatorcontrib>Shehada, Mohammad</creatorcontrib><creatorcontrib>Hamdan, Zakaria</creatorcontrib><creatorcontrib>Sawalmeh, Osama</creatorcontrib><creatorcontrib>Hassan, Mohannad</creatorcontrib><creatorcontrib>Hammoudi, Ahmad</creatorcontrib><creatorcontrib>Nazzal, Zaher</creatorcontrib><title>Mid-term cumulative patency of fistula and PTFE grafts among hemodialysis patients: A retrospective, single-center study from Palestine</title><title>The journal of vascular access</title><addtitle>J Vasc Access</addtitle><description>Background:
Due to the long waiting time for kidney transplantation, most End-Stage renal disease patients are commenced on either hemodialysis or peritoneal dialysis. Reusable fistulas have the lowest risk for death, cardiovascular events, and infections among all vascular accesses. This study aims to report the outcomes of the arteriovenous fistulas and PTFE grafts and the related predictive clinical and demographic variables.
Methods:
This retrospective study reviewed the charts of all hemodialysis patients between January 2017 and January 2021 at the Dialysis Center of An-Najah National University Hospital, Nablus, Palestine. Our outcomes were a primary failure, primary and secondary patency, and the related factors. Survival analysis using the Kaplan-Meier method was conducted, and the log-rank test was used to compare patency rates. The Cox proportional hazards regression model tested factors relevant to primary and secondary patency rates in univariate and multivariate analyses.
Results:
A total of 312 procedures were performed during the study period. Primary failure was 7.1% for AVF, 13.9% for arterio-venous graft (AVG) procedures. Peripheral arterial disease and left-sided AVF were associated with more primary failure rates. AVF, primary patency rates at 1, 2, and 3 years were 82%, 69%, and 59%, respectively, while secondary patency rates at 1, 2, and 3 years were 85%, 72%, and 63%, respectively. Factors associated with increased AVF patency in a proportional hazard model were younger age and dual antiplatelet administration.
Conclusion:
Our study adds further evidence that autogenous AVF has better results than prosthetic AVG in both primary and secondary patency rates as well as less primary failure rates. Therefore, we encourage further longitudinal studies that assess the benefits of using antiplatelet on AVF outcome versus risks of bleeding, especially with dual agents.</description><issn>1129-7298</issn><issn>1724-6032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE1PHSEUholp4_cPcGNYduFYDjADuDNGbRObutD1hMscbjHzcQWmyf0F_dsyudZNk64gnOd9yHkJOQN2CaDUVwBuFDeaAzDJjNZ75BAUl1XDBP9U7mVeLcABOUrphTFuapD75EBIKUBoOCR_foSuyhgH6uZh7m0Ov5FubMbRbenkqQ8pl2dqx44-Pt3d0nW0Pidqh2lc0184TF2w_TaFtKQCjjld0WsaMccpbdAtvguawrjusXJljJEWY7elPk4DfbQ9phxGPCGfve0Tnr6fx-T57vbp5lv18PP--831Q-W44bnyHDyTaFUNKyc1oupQOOhEYxoluRb1yiopPawaBC107Q0YI2XnXcMZMnFMvuy8mzi9zuXvdgjJYd_bEac5tbxupNRGqwWFHerKKimibzcxDDZuW2Dt0n_7T_8lc_6un1cDdh-Jv4UX4HIHJLvG9mWa41jW_Y_xDU3gjvg</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Khanfar, Obada</creator><creator>Aydi, Ramadan</creator><creator>Saada, Sultan</creator><creator>Shehada, Mohammad</creator><creator>Hamdan, Zakaria</creator><creator>Sawalmeh, Osama</creator><creator>Hassan, Mohannad</creator><creator>Hammoudi, Ahmad</creator><creator>Nazzal, Zaher</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2655-6109</orcidid><orcidid>https://orcid.org/0000-0002-5733-2589</orcidid></search><sort><creationdate>20230701</creationdate><title>Mid-term cumulative patency of fistula and PTFE grafts among hemodialysis patients: A retrospective, single-center study from Palestine</title><author>Khanfar, Obada ; Aydi, Ramadan ; Saada, Sultan ; Shehada, Mohammad ; Hamdan, Zakaria ; Sawalmeh, Osama ; Hassan, Mohannad ; Hammoudi, Ahmad ; Nazzal, Zaher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-f21f04ea751bc48ee7de3c1d3696742835ba744f1b6e18385f919944dfc620e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khanfar, Obada</creatorcontrib><creatorcontrib>Aydi, Ramadan</creatorcontrib><creatorcontrib>Saada, Sultan</creatorcontrib><creatorcontrib>Shehada, Mohammad</creatorcontrib><creatorcontrib>Hamdan, Zakaria</creatorcontrib><creatorcontrib>Sawalmeh, Osama</creatorcontrib><creatorcontrib>Hassan, Mohannad</creatorcontrib><creatorcontrib>Hammoudi, Ahmad</creatorcontrib><creatorcontrib>Nazzal, Zaher</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of vascular access</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khanfar, Obada</au><au>Aydi, Ramadan</au><au>Saada, Sultan</au><au>Shehada, Mohammad</au><au>Hamdan, Zakaria</au><au>Sawalmeh, Osama</au><au>Hassan, Mohannad</au><au>Hammoudi, Ahmad</au><au>Nazzal, Zaher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mid-term cumulative patency of fistula and PTFE grafts among hemodialysis patients: A retrospective, single-center study from Palestine</atitle><jtitle>The journal of vascular access</jtitle><addtitle>J Vasc Access</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>24</volume><issue>4</issue><spage>559</spage><epage>567</epage><pages>559-567</pages><issn>1129-7298</issn><eissn>1724-6032</eissn><abstract>Background:
Due to the long waiting time for kidney transplantation, most End-Stage renal disease patients are commenced on either hemodialysis or peritoneal dialysis. Reusable fistulas have the lowest risk for death, cardiovascular events, and infections among all vascular accesses. This study aims to report the outcomes of the arteriovenous fistulas and PTFE grafts and the related predictive clinical and demographic variables.
Methods:
This retrospective study reviewed the charts of all hemodialysis patients between January 2017 and January 2021 at the Dialysis Center of An-Najah National University Hospital, Nablus, Palestine. Our outcomes were a primary failure, primary and secondary patency, and the related factors. Survival analysis using the Kaplan-Meier method was conducted, and the log-rank test was used to compare patency rates. The Cox proportional hazards regression model tested factors relevant to primary and secondary patency rates in univariate and multivariate analyses.
Results:
A total of 312 procedures were performed during the study period. Primary failure was 7.1% for AVF, 13.9% for arterio-venous graft (AVG) procedures. Peripheral arterial disease and left-sided AVF were associated with more primary failure rates. AVF, primary patency rates at 1, 2, and 3 years were 82%, 69%, and 59%, respectively, while secondary patency rates at 1, 2, and 3 years were 85%, 72%, and 63%, respectively. Factors associated with increased AVF patency in a proportional hazard model were younger age and dual antiplatelet administration.
Conclusion:
Our study adds further evidence that autogenous AVF has better results than prosthetic AVG in both primary and secondary patency rates as well as less primary failure rates. Therefore, we encourage further longitudinal studies that assess the benefits of using antiplatelet on AVF outcome versus risks of bleeding, especially with dual agents.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>34431381</pmid><doi>10.1177/11297298211040988</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2655-6109</orcidid><orcidid>https://orcid.org/0000-0002-5733-2589</orcidid></addata></record> |
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| title | Mid-term cumulative patency of fistula and PTFE grafts among hemodialysis patients: A retrospective, single-center study from Palestine |
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