2012
DOI: 10.1055/s-0032-1321953
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Abstract: Background For patients with end-stage renal failure hemodialysis with an autogenous arteriovenous fistula (AVF) has proven to be the ideal vascular access. Objective The aim of this study is to discover potential predictors of a well-functioning hemodialysis fistula. Methods From December 2009 to March 2011, 80 patients undergoing first time AVF creation were enrolled in our retrospective study. We analyzed pre-and postoperative vessel diameters and flow characteristics gained by duplex ultrasonography (DUS) … Show more

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Cited by 10 publications
(6 citation statements)
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“…Comorbidities, such as diabetes mellitus and hypertension, observed in our patients are the same as that found in other international studies [16,21]. More women were operated with small caliber veins as compared to men (65.8% vs. 34.2%), which was consistent to the finding in other studies [5,6]. Moreover, sex has no impact on fistula maturity in our study (p = 0.539).…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…Comorbidities, such as diabetes mellitus and hypertension, observed in our patients are the same as that found in other international studies [16,21]. More women were operated with small caliber veins as compared to men (65.8% vs. 34.2%), which was consistent to the finding in other studies [5,6]. Moreover, sex has no impact on fistula maturity in our study (p = 0.539).…”
Section: Discussionsupporting
confidence: 92%
“…The major problem associated with the creation of a native AVF is that fistulae do not necessarily mature into a usable vascular access, subsequently requiring revision, usage of grafts, or construction of another access [3]. Many factors are involved in the maturity and proper functioning of fistulae, including surgeon's experience, vessel diameter, decreased blood pressure, postoperative hemorrhage, and vascular injury during operation [4][5][6]. The caliber of the vessels, especially that of the vein, is a pivotal factor predicting the acceptable maturation of the constructed fistula [7,8].…”
Section: Introductionmentioning
confidence: 99%
“…No statistically significant difference was observed between patients with AD within Q1, Q2, Q3 and Q4, and long-term primary patency outcome. In some studies, the AD considered optimal for AVF creation was ≥ 1.5 mm [16, 25] or ≥2 mm [42], while other studies suggest poor AVF functionality when radial AD is smaller than 1.5–2.3 mm [1618]. The use of preoperative vessel mapping, in addition to diameter assessment, also excluded the small and diseased veins and arteries, which may lead to AVF failure.…”
Section: Discussionmentioning
confidence: 99%
“…8,14 Formation of vortices induced by vascular intimal injury at the anastomotic site promotes adhesion of monocyte macrophages, which exacerbates the vicious cycle of fibrosis and atherosclerosis. 5,14 In turn, formation of haematomas and local infection make the local injury site difficult to repair, thereby having a detrimental effect on the patency of blood vessels. 26 CL, which is an inactive prodrug, is converted into active components by the cytochrome P 450 3A4 enzyme.…”
Section: Discussionmentioning
confidence: 99%
“…Intervention for arteriovenous fistula, which is regarded as a lifeline of patients with ESRD, establishes permanent vascular access for these patients. 5,6 In recent years, the use of artificial blood vessels and semi-permanent tube surgery in patients with ESRD has rapidly developed. 7,8 However, this method has short-term effects, increased complications, and is expensive.…”
Section: Introductionmentioning
confidence: 99%