alexa Maturation and failure rates in a large series of arteriovenous dialysis access fistulas.

Kidney Disorders and Clinical Practices

Author(s): Schild AF, Prieto J, Glenn M, Livingstone J, Alfieri K,

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Abstract The objective of this study was to document maturation and failure rates in a large homogeneous series of arteriovenous fistulas (AVFs). Between January 1, 1996, and December 31, 2001 (60 months), a single surgeon (AFS) in 1 academic medical center, constructed 374 AVFs. In this series, all AVFs were developed in vessels that had not undergone previous vascular access surgery. Recently, a retrospective review of these records revealed that 291 subjects had had complete follow-up for at least 3 months, and they constitute the material for this study. AVFs were considered a failure if an early occlusion/thrombosis occurred, if in 3 months the AVF had not matured on clinical examination, or if cannulation in the dialysis center was not feasible. A total of 91 AVFs did not mature, for an overall failure rate of 31\%. An evaluation of failure rates indicated rates in females were higher than in males (41\% versus 27\%). Other risk factors, including HIV+ status, hypertension, and diabetes, demonstrated minimal failure differences (33\%, 31\%, and 36\%, respectively).
This article was published in Vasc Endovascular Surg and referenced in Kidney Disorders and Clinical Practices

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