Evaluation of Factors Aﬀ ecting Wrist Radio-Cephalic Arteriovenous Fistula Maturation: A Single Institutional Observational Study

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PRABHA VIKRAM; Vernekar Ritesh R.; Patel Priyeshkumar; Ghagane Shridhar C.; NERLI RAJENDRA B.

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Journal Paper

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Journal: Nephro-Urology Monthly Year:2022 | Volume:14 | Issue:1 Page(s): 0-0

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Title

Evaluation of Factors Aﬀ ecting Wrist Radio-Cephalic Arteriovenous Fistula Maturation: A Single Institutional Observational Study

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Keywords

End Stage Renal Disease

Duplex Ultrasound

Hemodialysis

Abstract

Background: Chronic renal failure is the most common indication for which arterio-venous (AV) ﬁ stula creation surgery is being performed. Various studies have found that native arteriovenous ﬁ stulas are the best in long-term patency with lower complications. We conducted this study to ﬁ nd out the role of preprocedural Duplex Ultrasound (DUS) in predicting outcomes of radiocephalic ﬁ stula in the wrist in the North-Karnataka population. Methods: This prospective study was conducted from May 2019 to July 2020 on 50 patients who were Hemodialysis-dependent and underwent AV ﬁ stula creation with age from 20 to 70 years. All the patients underwent preoperative DUS and were followed up post-operatively after one, two, and six weeks. Hemodialysis was initiated through the constructed ﬁ stula once it was mature, and the maximum blood ﬂ ow through the ﬁ stula was measured. SPSS version 20. 0 was used for statistical analysis. Results: Among 50 subjects, the overall cumulative success of AVF maturation was 86% (43), and failure to mature rate was 14% (7). Logistic regression of maturation outcome in the wrist autologous arteriovenous ﬁ stula for individual factors showed statistically signiﬁ cant results (P < 0. 05) for the diameter of the radial artery > 1. 6 mm and the distensibility of the cephalic vein > 0. 4 mm. Conclusions: Vein distensibility and radial artery diameter are key factors in predicting successful AVF maturation. The use of intraoperative papaverine instillation directly on vessels can improve arteriovenous ﬁ stula outcomes.

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APA: Copy

PRABHA, VIKRAM, Vernekar, Ritesh R., Patel, Priyeshkumar, Ghagane, Shridhar C., & NERLI, RAJENDRA B.. (2022). Evaluation of Factors Aﬀ ecting Wrist Radio-Cephalic Arteriovenous Fistula Maturation: A Single Institutional Observational Study. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, 14(1), 0-0. SID. https://sid.ir/paper/976385/en

Vancouver: Copy

PRABHA VIKRAM, Vernekar Ritesh R., Patel Priyeshkumar, Ghagane Shridhar C., NERLI RAJENDRA B.. Evaluation of Factors Aﬀ ecting Wrist Radio-Cephalic Arteriovenous Fistula Maturation: A Single Institutional Observational Study. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY[Internet]. 2022;14(1):0-0. Available from: https://sid.ir/paper/976385/en

IEEE: Copy

VIKRAM PRABHA, Ritesh R. Vernekar, Priyeshkumar Patel, Shridhar C. Ghagane, and RAJENDRA B. NERLI, “Evaluation of Factors Aﬀ ecting Wrist Radio-Cephalic Arteriovenous Fistula Maturation: A Single Institutional Observational Study,” THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, vol. 14, no. 1, pp. 0–0, 2022, [Online]. Available: https://sid.ir/paper/976385/en

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