Preoperative cephalic vein diameter and diabetes do not limit the choice of wrist radio-cephalic arteriovenous fistula
Aim: To identify predictors that affect initial maturation of new wrist radio-cephalic arteriovenous fistula and evaluate the clinical effects of the ipsilateral mid-forearm radio-cephalic arteriovenous fistulas creation in the event of first wrist radio-cephalic arteriovenous fistula failure. Metho...
Gespeichert in:
| Veröffentlicht in: | The journal of vascular access 2020-05, Vol.21 (3), p.366-371 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 371 |
|---|---|
| container_issue | 3 |
| container_start_page | 366 |
| container_title | The journal of vascular access |
| container_volume | 21 |
| creator | Hou, Guocun Yan, Yonghong Li, Guangyi Hou, Yi Sun, Xiuli Yin, Na Feng, Guozhen |
| description | Aim:
To identify predictors that affect initial maturation of new wrist radio-cephalic arteriovenous fistula and evaluate the clinical effects of the ipsilateral mid-forearm radio-cephalic arteriovenous fistulas creation in the event of first wrist radio-cephalic arteriovenous fistula failure.
Methods:
We performed a retrospective review of all patients who underwent first wrist radio-cephalic arteriovenous fistula creation between September 2016 and May 2018. Currently, we prefer to re-create an ipsilateral mid-forearm radio-cephalic arteriovenous fistula when the first wrist radio-cephalic arteriovenous fistula fails. Predictors of successful radio-cephalic arteriovenous fistulas were identified using univariate and multivariate analyses. Kaplan–Meier survival analysis and log-rank test were used to calculate successful radio-cephalic arteriovenous fistula rates.
Results:
Univariate analysis showed that predictive factors for successful wrist radio-cephalic arteriovenous fistula include larger preoperative cephalic vein diameter (p = 0.001) and non-diabetic kidney disease (p = 0.007). Multivariate binary logistic regression analysis revealed cephalic vein diameter ⩾2 mm (odds ratio = 4.55, 95% confidence interval = (1.49–13.92), p = 0.008) and non-diabetic kidney disease (odds ratio = 4.22, 95% confidence interval = (1.38–12.88), p = 0.011) to be independent predictors for successful radio-cephalic arteriovenous fistula. We re-created ipsilateral mid-forearm radio-cephalic arteriovenous fistulas in 15 patients among the 21 failed wrist radio-cephalic arteriovenous fistulas; all these arteriovenous fistulas maintained clinical maturation following up for 1–2 years.
Conclusion:
Small cephalic vein diameter ( |
| doi_str_mv | 10.1177/1129729819879320 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_pubmed_primary_31580187</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1129729819879320</sage_id><sourcerecordid>2300599017</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-faf790923c4e8c6db6eda436596a5d42063af009c1da328c141737045c19127e3</originalsourceid><addsrcrecordid>eNp1kL1PwzAQxS0EoqWwMyGPLAF_JHE8ooovqRIMMEeufaGukrjYThD_Pa5aOiAx3Z3uvZ_uHkKXlNxQKsQtpUwKJisqKyE5I0doSgXLs5Jwdpz6tM62-wk6C2FNCJMFzU_RhNOiIrQSUzS-enAb8CraEbCGzUq1VuMRbI-NVR1E8Fj1Zjss0xCwcbh3Ebe2sxHHVTKtnNWAXYO_vA0Re2Wsyw4o5RPCuhF6NwTcJMXQqnN00qg2wMW-ztD7w_3b_ClbvDw-z-8WmeZcxKxRjZBEMq5zqHRpliUYlfOykKUqTM5IyVVDiNTUKM4qTXMquCB5oamkTACfoesdd-Pd5wAh1p0NGtpW9ZDOqRknpJCSJNsMkZ1UexeCh6beeNsp_11TUm_Trv-mnSxXe_qw7MAcDL_xJkG2EwT1AfXaDb5P3_4P_AFE4og1</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2300599017</pqid></control><display><type>article</type><title>Preoperative cephalic vein diameter and diabetes do not limit the choice of wrist radio-cephalic arteriovenous fistula</title><source>MEDLINE</source><source>SAGE Complete</source><creator>Hou, Guocun ; Yan, Yonghong ; Li, Guangyi ; Hou, Yi ; Sun, Xiuli ; Yin, Na ; Feng, Guozhen</creator><creatorcontrib>Hou, Guocun ; Yan, Yonghong ; Li, Guangyi ; Hou, Yi ; Sun, Xiuli ; Yin, Na ; Feng, Guozhen</creatorcontrib><description>Aim:
To identify predictors that affect initial maturation of new wrist radio-cephalic arteriovenous fistula and evaluate the clinical effects of the ipsilateral mid-forearm radio-cephalic arteriovenous fistulas creation in the event of first wrist radio-cephalic arteriovenous fistula failure.
Methods:
We performed a retrospective review of all patients who underwent first wrist radio-cephalic arteriovenous fistula creation between September 2016 and May 2018. Currently, we prefer to re-create an ipsilateral mid-forearm radio-cephalic arteriovenous fistula when the first wrist radio-cephalic arteriovenous fistula fails. Predictors of successful radio-cephalic arteriovenous fistulas were identified using univariate and multivariate analyses. Kaplan–Meier survival analysis and log-rank test were used to calculate successful radio-cephalic arteriovenous fistula rates.
Results:
Univariate analysis showed that predictive factors for successful wrist radio-cephalic arteriovenous fistula include larger preoperative cephalic vein diameter (p = 0.001) and non-diabetic kidney disease (p = 0.007). Multivariate binary logistic regression analysis revealed cephalic vein diameter ⩾2 mm (odds ratio = 4.55, 95% confidence interval = (1.49–13.92), p = 0.008) and non-diabetic kidney disease (odds ratio = 4.22, 95% confidence interval = (1.38–12.88), p = 0.011) to be independent predictors for successful radio-cephalic arteriovenous fistula. We re-created ipsilateral mid-forearm radio-cephalic arteriovenous fistulas in 15 patients among the 21 failed wrist radio-cephalic arteriovenous fistulas; all these arteriovenous fistulas maintained clinical maturation following up for 1–2 years.
Conclusion:
Small cephalic vein diameter (<2 mm) and diabetes were independent risk factors for failed wrist radio-cephalic arteriovenous fistulas, but this risk could be overcome by aggressive ipsilateral mid-forearm radio-cephalic arteriovenous fistula to address a failed first attempt. Cephalic vein diameter is more important during the maturation stage, and once maturation has occurred, diabetes has an additive role in determining the patency of wrist radio-cephalic arteriovenous fistula. The “wrist RCAVF first, ipsilateral mid-forearm RCAVF second” strategy is the most clinically significant message of our study.</description><identifier>ISSN: 1129-7298</identifier><identifier>EISSN: 1724-6032</identifier><identifier>DOI: 10.1177/1129729819879320</identifier><identifier>PMID: 31580187</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Arteriovenous Shunt, Surgical - adverse effects ; Arteriovenous Shunt, Surgical - mortality ; Clinical Decision-Making ; Diabetes Mellitus - diagnosis ; Diabetes Mellitus - mortality ; Female ; Humans ; Kidney Failure, Chronic - diagnosis ; Kidney Failure, Chronic - mortality ; Kidney Failure, Chronic - therapy ; Male ; Middle Aged ; Radial Artery - diagnostic imaging ; Radial Artery - surgery ; Renal Dialysis - adverse effects ; Renal Dialysis - mortality ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome ; Vascular Patency ; Veins - diagnostic imaging ; Veins - surgery ; Wrist - blood supply</subject><ispartof>The journal of vascular access, 2020-05, Vol.21 (3), p.366-371</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-faf790923c4e8c6db6eda436596a5d42063af009c1da328c141737045c19127e3</citedby><cites>FETCH-LOGICAL-c337t-faf790923c4e8c6db6eda436596a5d42063af009c1da328c141737045c19127e3</cites><orcidid>0000-0003-1594-3645</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1129729819879320$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1129729819879320$$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/31580187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hou, Guocun</creatorcontrib><creatorcontrib>Yan, Yonghong</creatorcontrib><creatorcontrib>Li, Guangyi</creatorcontrib><creatorcontrib>Hou, Yi</creatorcontrib><creatorcontrib>Sun, Xiuli</creatorcontrib><creatorcontrib>Yin, Na</creatorcontrib><creatorcontrib>Feng, Guozhen</creatorcontrib><title>Preoperative cephalic vein diameter and diabetes do not limit the choice of wrist radio-cephalic arteriovenous fistula</title><title>The journal of vascular access</title><addtitle>J Vasc Access</addtitle><description>Aim:
To identify predictors that affect initial maturation of new wrist radio-cephalic arteriovenous fistula and evaluate the clinical effects of the ipsilateral mid-forearm radio-cephalic arteriovenous fistulas creation in the event of first wrist radio-cephalic arteriovenous fistula failure.
Methods:
We performed a retrospective review of all patients who underwent first wrist radio-cephalic arteriovenous fistula creation between September 2016 and May 2018. Currently, we prefer to re-create an ipsilateral mid-forearm radio-cephalic arteriovenous fistula when the first wrist radio-cephalic arteriovenous fistula fails. Predictors of successful radio-cephalic arteriovenous fistulas were identified using univariate and multivariate analyses. Kaplan–Meier survival analysis and log-rank test were used to calculate successful radio-cephalic arteriovenous fistula rates.
Results:
Univariate analysis showed that predictive factors for successful wrist radio-cephalic arteriovenous fistula include larger preoperative cephalic vein diameter (p = 0.001) and non-diabetic kidney disease (p = 0.007). Multivariate binary logistic regression analysis revealed cephalic vein diameter ⩾2 mm (odds ratio = 4.55, 95% confidence interval = (1.49–13.92), p = 0.008) and non-diabetic kidney disease (odds ratio = 4.22, 95% confidence interval = (1.38–12.88), p = 0.011) to be independent predictors for successful radio-cephalic arteriovenous fistula. We re-created ipsilateral mid-forearm radio-cephalic arteriovenous fistulas in 15 patients among the 21 failed wrist radio-cephalic arteriovenous fistulas; all these arteriovenous fistulas maintained clinical maturation following up for 1–2 years.
Conclusion:
Small cephalic vein diameter (<2 mm) and diabetes were independent risk factors for failed wrist radio-cephalic arteriovenous fistulas, but this risk could be overcome by aggressive ipsilateral mid-forearm radio-cephalic arteriovenous fistula to address a failed first attempt. Cephalic vein diameter is more important during the maturation stage, and once maturation has occurred, diabetes has an additive role in determining the patency of wrist radio-cephalic arteriovenous fistula. The “wrist RCAVF first, ipsilateral mid-forearm RCAVF second” strategy is the most clinically significant message of our study.</description><subject>Adult</subject><subject>Aged</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Arteriovenous Shunt, Surgical - mortality</subject><subject>Clinical Decision-Making</subject><subject>Diabetes Mellitus - diagnosis</subject><subject>Diabetes Mellitus - mortality</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - diagnosis</subject><subject>Kidney Failure, Chronic - mortality</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radial Artery - diagnostic imaging</subject><subject>Radial Artery - surgery</subject><subject>Renal Dialysis - adverse effects</subject><subject>Renal Dialysis - mortality</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><subject>Veins - diagnostic imaging</subject><subject>Veins - surgery</subject><subject>Wrist - blood supply</subject><issn>1129-7298</issn><issn>1724-6032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAQxS0EoqWwMyGPLAF_JHE8ooovqRIMMEeufaGukrjYThD_Pa5aOiAx3Z3uvZ_uHkKXlNxQKsQtpUwKJisqKyE5I0doSgXLs5Jwdpz6tM62-wk6C2FNCJMFzU_RhNOiIrQSUzS-enAb8CraEbCGzUq1VuMRbI-NVR1E8Fj1Zjss0xCwcbh3Ebe2sxHHVTKtnNWAXYO_vA0Re2Wsyw4o5RPCuhF6NwTcJMXQqnN00qg2wMW-ztD7w_3b_ClbvDw-z-8WmeZcxKxRjZBEMq5zqHRpliUYlfOykKUqTM5IyVVDiNTUKM4qTXMquCB5oamkTACfoesdd-Pd5wAh1p0NGtpW9ZDOqRknpJCSJNsMkZ1UexeCh6beeNsp_11TUm_Trv-mnSxXe_qw7MAcDL_xJkG2EwT1AfXaDb5P3_4P_AFE4og1</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Hou, Guocun</creator><creator>Yan, Yonghong</creator><creator>Li, Guangyi</creator><creator>Hou, Yi</creator><creator>Sun, Xiuli</creator><creator>Yin, Na</creator><creator>Feng, Guozhen</creator><general>SAGE Publications</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>7X8</scope><orcidid>https://orcid.org/0000-0003-1594-3645</orcidid></search><sort><creationdate>202005</creationdate><title>Preoperative cephalic vein diameter and diabetes do not limit the choice of wrist radio-cephalic arteriovenous fistula</title><author>Hou, Guocun ; Yan, Yonghong ; Li, Guangyi ; Hou, Yi ; Sun, Xiuli ; Yin, Na ; Feng, Guozhen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-faf790923c4e8c6db6eda436596a5d42063af009c1da328c141737045c19127e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Arteriovenous Shunt, Surgical - mortality</topic><topic>Clinical Decision-Making</topic><topic>Diabetes Mellitus - diagnosis</topic><topic>Diabetes Mellitus - mortality</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Failure, Chronic - diagnosis</topic><topic>Kidney Failure, Chronic - mortality</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radial Artery - diagnostic imaging</topic><topic>Radial Artery - surgery</topic><topic>Renal Dialysis - adverse effects</topic><topic>Renal Dialysis - mortality</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><topic>Veins - diagnostic imaging</topic><topic>Veins - surgery</topic><topic>Wrist - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hou, Guocun</creatorcontrib><creatorcontrib>Yan, Yonghong</creatorcontrib><creatorcontrib>Li, Guangyi</creatorcontrib><creatorcontrib>Hou, Yi</creatorcontrib><creatorcontrib>Sun, Xiuli</creatorcontrib><creatorcontrib>Yin, Na</creatorcontrib><creatorcontrib>Feng, Guozhen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><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>Hou, Guocun</au><au>Yan, Yonghong</au><au>Li, Guangyi</au><au>Hou, Yi</au><au>Sun, Xiuli</au><au>Yin, Na</au><au>Feng, Guozhen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative cephalic vein diameter and diabetes do not limit the choice of wrist radio-cephalic arteriovenous fistula</atitle><jtitle>The journal of vascular access</jtitle><addtitle>J Vasc Access</addtitle><date>2020-05</date><risdate>2020</risdate><volume>21</volume><issue>3</issue><spage>366</spage><epage>371</epage><pages>366-371</pages><issn>1129-7298</issn><eissn>1724-6032</eissn><abstract>Aim:
To identify predictors that affect initial maturation of new wrist radio-cephalic arteriovenous fistula and evaluate the clinical effects of the ipsilateral mid-forearm radio-cephalic arteriovenous fistulas creation in the event of first wrist radio-cephalic arteriovenous fistula failure.
Methods:
We performed a retrospective review of all patients who underwent first wrist radio-cephalic arteriovenous fistula creation between September 2016 and May 2018. Currently, we prefer to re-create an ipsilateral mid-forearm radio-cephalic arteriovenous fistula when the first wrist radio-cephalic arteriovenous fistula fails. Predictors of successful radio-cephalic arteriovenous fistulas were identified using univariate and multivariate analyses. Kaplan–Meier survival analysis and log-rank test were used to calculate successful radio-cephalic arteriovenous fistula rates.
Results:
Univariate analysis showed that predictive factors for successful wrist radio-cephalic arteriovenous fistula include larger preoperative cephalic vein diameter (p = 0.001) and non-diabetic kidney disease (p = 0.007). Multivariate binary logistic regression analysis revealed cephalic vein diameter ⩾2 mm (odds ratio = 4.55, 95% confidence interval = (1.49–13.92), p = 0.008) and non-diabetic kidney disease (odds ratio = 4.22, 95% confidence interval = (1.38–12.88), p = 0.011) to be independent predictors for successful radio-cephalic arteriovenous fistula. We re-created ipsilateral mid-forearm radio-cephalic arteriovenous fistulas in 15 patients among the 21 failed wrist radio-cephalic arteriovenous fistulas; all these arteriovenous fistulas maintained clinical maturation following up for 1–2 years.
Conclusion:
Small cephalic vein diameter (<2 mm) and diabetes were independent risk factors for failed wrist radio-cephalic arteriovenous fistulas, but this risk could be overcome by aggressive ipsilateral mid-forearm radio-cephalic arteriovenous fistula to address a failed first attempt. Cephalic vein diameter is more important during the maturation stage, and once maturation has occurred, diabetes has an additive role in determining the patency of wrist radio-cephalic arteriovenous fistula. The “wrist RCAVF first, ipsilateral mid-forearm RCAVF second” strategy is the most clinically significant message of our study.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31580187</pmid><doi>10.1177/1129729819879320</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1594-3645</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1129-7298 |
| ispartof | The journal of vascular access, 2020-05, Vol.21 (3), p.366-371 |
| issn | 1129-7298 1724-6032 |
| language | eng |
| recordid | cdi_pubmed_primary_31580187 |
| source | MEDLINE; SAGE Complete |
| subjects | Adult Aged Arteriovenous Shunt, Surgical - adverse effects Arteriovenous Shunt, Surgical - mortality Clinical Decision-Making Diabetes Mellitus - diagnosis Diabetes Mellitus - mortality Female Humans Kidney Failure, Chronic - diagnosis Kidney Failure, Chronic - mortality Kidney Failure, Chronic - therapy Male Middle Aged Radial Artery - diagnostic imaging Radial Artery - surgery Renal Dialysis - adverse effects Renal Dialysis - mortality Retrospective Studies Risk Assessment Risk Factors Time Factors Treatment Outcome Vascular Patency Veins - diagnostic imaging Veins - surgery Wrist - blood supply |
| title | Preoperative cephalic vein diameter and diabetes do not limit the choice of wrist radio-cephalic arteriovenous fistula |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T15%3A59%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Preoperative%20cephalic%20vein%20diameter%20and%20diabetes%20do%20not%20limit%20the%20choice%20of%20wrist%20radio-cephalic%20arteriovenous%20fistula&rft.jtitle=The%20journal%20of%20vascular%20access&rft.au=Hou,%20Guocun&rft.date=2020-05&rft.volume=21&rft.issue=3&rft.spage=366&rft.epage=371&rft.pages=366-371&rft.issn=1129-7298&rft.eissn=1724-6032&rft_id=info:doi/10.1177/1129729819879320&rft_dat=%3Cproquest_cross%3E2300599017%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2300599017&rft_id=info:pmid/31580187&rft_sage_id=10.1177_1129729819879320&rfr_iscdi=true |