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A prospective study of factors associated with successful maturation of arteriovenous fistulas for hemodialysis Cover

A prospective study of factors associated with successful maturation of arteriovenous fistulas for hemodialysis

Open Access
|Nov 2024

Figures & Tables

Patient characteristics_ The results are shown as the mean ± standard deviation or absolute value (percentage)

VariableAll (N = 37)Successful maturationp-value
Yes (N = 32)No (N = 5)
Age (years)49 ± 1448 ± 1456 ± 70.080
Sex
  Male27 (73%)27 (78%)2 (40%)0.110
  Female10 (27%)7 (22%)3 (60%)
BMI (kg/m2)23.6 ± 3.523.4 ± 3.424.9 ± 4.00.460
Educational level
  Until elementary school29 (78%)25 (78%)4 (80%)1.000
  Above high school8 (22%)7 (22%)1 (20%)
Marital status
  Married14(38%)12(38%)2(40%)1.000
  Other23(62%)20(63%)3(60%)
Smoking24 (65%)22 (69%)2 (40%)0.320
Diabetes mellitus24 (65%)21 (66%)3 (60%)1.000
Etiology
  Diabetes23 (62%)20(63%)3(60%)1.000
  Others14 (38%)12(38%)2(40%)
Hypertension35 (95%)30 (94%)5 (100%)1.000
Number of antihypertensives2 (1–2)2 (1–2)2 (2–3)0.323
Beta-blockers2 (5%)2 (6%)0 (0%)0.750
ACEIs1 (3%)1(3%)0 (0%)1.000
Angiotensin receptor antagonist13(35%)12(38%)1(20%)0.640
Time in HD (months)10 (7–18)10 (8–17)11 (7–36)0.721
HD sessions2 (2–2)2 (2–2)2 (2–2)0.757
Residual uresis (ml)459 ± 451454 ± 437490 ± 5920.900
Hemoglobin (mg/dL)9.4 ± 1.39.3 ± 1.310.1 ± 10.160
Creatinine (mg/dL)9.9 ± 3.410 ± 3.39.7 ± 4.60.880
Urea (mg/dL)129 ± 50126 ± 49149 ± 600.450
Glucose (mg/dL)100 ± 33100 ± 34102 ± 270.870
Number of venous catheters2 (1–2)2 (1–2)1 (1–3)0.924

Presurgical characteristics of the vessels and the surgery used to create arteriovenous fistulas_ The results are shown as the mean ± standard deviation, median (25th percentile – 75th percentile) or absolute value and percentage

VariableAll (N = 37)Successful maturationp-value
Yes (N = 32)No (N = 5)
AVF arm
  Left32 (86%)27 (84%)5 (100%)1.000
  Right5 (14%)5 (16%)0 (0%)
AVF vein diameter (mm)4.2 ± 10.44.3 ± 13.2 ± 0.90.04
Artery diameter (mm)4.6 ± 0.64.5 ± 0.64.5 (0.41)0.88
Artery area (mm2)23.5 ± 9.624.4 ± 9.917.7 ± 4.30.15
Resistance index0.9 ± 0.10.91 ± 0.120.97 ± 0.040.27
Flow-mediated dilation (%)13.7 ± 6.213.8 ± 6.413.7 ± 5.90.97
Surgical time (minutes)89 ± 2388 ± 2398 ± 230.67
Bleeding (ml)10 (8–20)10 (8–19)10 (8–20)0.75
Atherotomy (mm)6 (5–7)6 (6–7)8 (5–8)0.38
Artery wall (mm)0.7 (0.69–0.8)0.7 (0.69–0.85)0.7 (0.7–0.76)0.75
Artery dilation (mm)0.6 ± 0.20.6 ± 0.250.62 ± 0.250.90

Postsurgical characteristics of the vessels used to establish arteriovenous fistulas_ The results are shown as the mean ± standard deviation, median (25th percentile – 75th percentile) or absolute value and percentage

VariableAll (N = 37)Successful maturationp-value
Yes (N = 32)No (N = 5)
Thrill35 (95%)32 (100%)3 (60%)0.01
Vein diameter (6 week) (mm)6.3 ± 1.066.6 ± 0.824.7 ± 1.170.02
Blood flow (ml/min)1178.8 ± 7641321 ± 722271 ± 1700.00
Depth (mm)1.9 ± 0.82 ± 0.81.6 ± 0.60.00
Anastomosis (mm)4.3 (4–4.8)4.4 (4–4.8)4.4 (4–4.8)0.18
DOI: https://doi.org/10.15557/jou.2024.0030 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Page range: 1 - 7
Submitted on: Jan 22, 2024
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Accepted on: Jul 15, 2024
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Published on: Nov 30, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Nadia Elizabeth Saavedra Fuentes, Juan Reyna Blanco, Gloria Queipo Garcia, Monserrat Perez Navarro, Claudia Lerma Gonzalez, Rafael Valdez-Ortiz, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.