The effect of location and configuration on forearm and upper arm hemodialysis arteriovenous grafts

Farber, Alik; Tan, Tze‐Woei; Dember, Laura M.; Dixon, Bradley S.; Kusek, John W.; Kaufman, James M.; Hawley, M.; Lauer, Andreas K.; Lesage, Pauline; Nathan, Rohit; Holmberg, Erika; Braden, Gregory; Ryan, Michael P.; Berkowitz, Alison; Rahman, Asif; Lucas, B. Daniel; Santos, Ramón Calviño; Reyes, Bryan A.; Greenberg, Arthur; Berkoben, Michael; Kovalik, Eugene C.; Lawson, Jeffery H.; Middleton, John; Schwab, Steve J.; Schumm, Deb; Adams, Samuel B.; Gitter, Kurt A.; Cantaffa, T.; Quarles, Anne Walker; Work, Jack; Rhodes, Sarah; Himmelfarb, Jonathan; Whiting, James F.; Kane, J.; Freedman, Sigal; Violette, R.; Cyr-Alves, H.; Garrison, Kassandra L.; Martin, Kévin; Schmitz, Paul; Jenkins, Valerie; Cotton, James R.; Husband, E. M.; Allon, Michael; Robbin, Michelle L.; Lockhart, Mark E.; Casey, Brenna; Newsome, JT; Franzwa, Bradley S.; Hunsicker, Lawrence G.; Hoballah, Jamal J.; Katz, Daniel; Sharp, William J.; Kresowik, Timothy F.; Wu, Yi‐Ling; Rayhill, Stephen C.; Pflederer, Timothy A.; Dupage, K.; Welch, Kathy; Darras, Frank; Banqero, A.; Ketel, Beverly L.; Arrow, A. Wounded; Vázquez, María del Mar Andrés; Davidson, Ingemar; Toto, Robert D.; Littmon, L.; Ying, Chunhua; Lightfoot, T.; Quiñones, Henry; Saxena, Ramesh; Clagett, Patrick; Valentine, John; Dolmatch, Bart L.; Thompson, J. F.; Fenves, Andrew Z.; Pearl, Greg; Ikizler, A.; Egbert, Peter R.; McNeil, James W.; Holmes, Douglas; Freiberger, W.; Delmez, James A.; Windus, David W.; Coyne, Daniel W.; Rothstein, Marcos; Shenoy, Surendra; Creaghan, R.; Lluka, B.; Meyers, Catherine M.; Feldman, Harold I.; Beck, Gerald J.; Gassman, Jennifer; Greene, Tom; Hu, Bo; Bi, Struchkov; Liu, A.; Radeva, Milena; Tuason, L.; Weiss, Brian; Levin, Nathan W.; Besarab, Anatole; Chertow, Glenn M.; Diener‐West, Marie; Louis, T.; McClellan, William; Stehman‐Breen, Catherine

doi:10.1016/j.jvs.2015.06.132

Cited by 26 publications

(16 citation statements)

References 34 publications

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“…2 The current investigation informs the scarcely described topic of international AVG creation and successful use. Successful AVG use observed for the United States in DOPPS is consistent with that reported in the Dialysis Access Consortium Trial, 27 although end points were defined somewhat differently. Early failures were considerably more common for newly created AVGs versus AVFs in the current work.…”

Section: Discussionsupporting

confidence: 71%

International Differences in the Location and Use of Arteriovenous Accesses Created for Hemodialysis: Results From the Dialysis Outcomes and Practice Patterns Study (DOPPS)

Pisoni

Zepel

Fluck

et al. 2018

American Journal of Kidney Diseases

132

124

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Large international differences exist in AVF location, predictors of AVF location, successful use of AVFs, and time to first AVF/AVG use, challenging what constitutes best practice. The large US shift from lower- to upper-arm AVFs raises serious concerns about long-term health implications for some patients and how policies and practices aimed at increasing AVF use have affected AVF placement location.

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Section: Discussionsupporting

confidence: 71%

International Differences in the Location and Use of Arteriovenous Accesses Created for Hemodialysis: Results From the Dialysis Outcomes and Practice Patterns Study (DOPPS)

Pisoni

Zepel

Fluck

et al. 2018

American Journal of Kidney Diseases

132

124

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“…Patency was comparable between forearm AVG and upper-arm AVG, although the larger caliber veins were often encountered in the upper-arm. 9) Our study showed no statistically significant difference in the primary patency between outflow vein sizes smaller than and larger than 3 mm (526 days [IQR: 347, 835] versus 409 days [IQR: 149, 739], P=0.380), and the correlation between outflow vein sizes was negative. This correlation means that when the outflow vein size is increased, the primary patency is reduced, but with no statistical significance as well (P=0.237).…”

Section: Discussionmentioning

confidence: 44%

The Effect of Artery and Vein Size on Forearm Hemodialysis Arteriovenous Graft Patency

Kritayakirana

Narueponjirakul

Uthaipaisanwong

et al. 2019

Annals of Vascular Diseases

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Objective: Arteriovenous grafts (AVGs) are considered to be an alternative procedure when autogenous fistulas are not feasible. This study was conducted to establish a correlation between the inflow artery and outflow vein size and patency of AVGs.Materials and Methods: This was a retrospective descriptive study. Data was collected from patients who had forearm AVG performed at a university hospital from January 1, 2012, to December 31, 2016. Spearman’s rho correlation test was used to identify the correlation between the artery and vein size and patency of AVG.Results: A total of 34 patients were enrolled in this study. Forearm loop configuration was performed in 33 patients (97%), and straight configuration was performed in one patient (3%). The median size of the brachial artery was 3 mm (interquartile range [IQR]: 2, 4) and that of the vein was 3 mm (IQR: 2, 5). The overall primary patency was 74% at six months, 59% at one year, and 32% at two years. The analysis showed that the primary patency increased with the artery size, but there was a reverse correlation between vein sizes.Conclusion: Small inflow arteries may reduce the primary patency, but small veins do not result in a poor primary patency. Our method can be applied to patients with small veins, where it is still possible to perform forearm AVGs.

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“…In the present study, the autologous AVF failure rate at 6 weeks was 23 per cent with placebo and 28 per cent after GTN, and is broadly consistent with other studies. This is slightly higher than the rate in the US Dialysis Access Consortium Study which, although widely quoted as having a failure rate over 50 per cent, actually had a 15·8 per cent thrombosis rate within 6 weeks of fistula creation.…”

Section: Discussionmentioning

confidence: 59%

Randomized clinical trial of the use of glyceryl trinitrate patches to aid arteriovenous fistula maturation

Field

McGrogan

Marie

et al. 2016

British Journal of Surgery

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The effect of location and configuration on forearm and upper arm hemodialysis arteriovenous grafts

Cited by 26 publications

References 34 publications

International Differences in the Location and Use of Arteriovenous Accesses Created for Hemodialysis: Results From the Dialysis Outcomes and Practice Patterns Study (DOPPS)

International Differences in the Location and Use of Arteriovenous Accesses Created for Hemodialysis: Results From the Dialysis Outcomes and Practice Patterns Study (DOPPS)

The Effect of Artery and Vein Size on Forearm Hemodialysis Arteriovenous Graft Patency

Randomized clinical trial of the use of glyceryl trinitrate patches to aid arteriovenous fistula maturation

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