Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experience
Objective: The objective of the study was to analyze and evaluate the possible factors in the long-term patency of arteriovenous (AV) access for hemodialysis (HD). Materials and Methods: This was a cross-sectional study recruiting patients from January 2019 to December 2019. All patients who have a...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
| Subjects: | |
| Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=5;spage=55;epage=59;aulast=Gangadharan |
| _version_ | 1818898821138087936 |
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| author | Ashwini Naveen Gangadharan Rajendra Basavanthappa Prasad Ranjith Kumar Anandasu J P Vivek Vardhan Chandrashekar Anagavalli Ramswamy Sanjay C Desai Adharsh Kumar Maruthu Pandian Nivedita Mitta Hemanth Kumar |
| author_facet | Ashwini Naveen Gangadharan Rajendra Basavanthappa Prasad Ranjith Kumar Anandasu J P Vivek Vardhan Chandrashekar Anagavalli Ramswamy Sanjay C Desai Adharsh Kumar Maruthu Pandian Nivedita Mitta Hemanth Kumar |
| author_sort | Ashwini Naveen Gangadharan |
| collection | DOAJ |
| description | Objective: The objective of the study was to analyze and evaluate the possible factors in the long-term patency of arteriovenous (AV) access for hemodialysis (HD). Materials and Methods: This was a cross-sectional study recruiting patients from January 2019 to December 2019. All patients who have a working HD vascular access, either AV fistula (AVF) or AV graft which has been working for at least 2 years were included and collected demographic data along with other parameters such as timing of creation, interventions, dialysis sessions, and antiplatelet therapy among others. Results: We included 81 patients with AV access patent more than 2 years; 22.5% were aged >65 years, 39.6% were diabetic, 68.5% were hypertensive, and 26.1% had vascular disease. Analysis revealed that the patient factors such as current tobacco usage and side of creation and technical factors such as maturation time, number of dialysis sessions, and single-center dialysis have a significant effect on the patency of the AV access, while the factors such as past tobacco usage, diabetes, hypertension, use of jugular catheter before access creation, and cannulation technique could not establish any statistical effect on the patency of AV access. Conclusion: There is a complex interaction of factors that may affect the patency of an individual AV access. These need to be carefully considered when selecting surgical site or technique, adjuvant treatments, and follow-up protocols for AVFs. |
| first_indexed | 2024-12-19T19:38:09Z |
| format | Article |
| id | doaj.art-eac2cf53ac484aa7930a7bb8550d3c46 |
| institution | Directory Open Access Journal |
| issn | 0972-0820 2394-0999 |
| language | English |
| last_indexed | 2024-12-19T19:38:09Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj.art-eac2cf53ac484aa7930a7bb8550d3c462022-12-21T20:08:20ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992021-01-0185555910.4103/ijves.ijves_153_20Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experienceAshwini Naveen GangadharanRajendra Basavanthappa PrasadRanjith Kumar AnandasuJ P Vivek VardhanChandrashekar Anagavalli RamswamySanjay C DesaiAdharsh Kumar Maruthu PandianNivedita MittaHemanth KumarObjective: The objective of the study was to analyze and evaluate the possible factors in the long-term patency of arteriovenous (AV) access for hemodialysis (HD). Materials and Methods: This was a cross-sectional study recruiting patients from January 2019 to December 2019. All patients who have a working HD vascular access, either AV fistula (AVF) or AV graft which has been working for at least 2 years were included and collected demographic data along with other parameters such as timing of creation, interventions, dialysis sessions, and antiplatelet therapy among others. Results: We included 81 patients with AV access patent more than 2 years; 22.5% were aged >65 years, 39.6% were diabetic, 68.5% were hypertensive, and 26.1% had vascular disease. Analysis revealed that the patient factors such as current tobacco usage and side of creation and technical factors such as maturation time, number of dialysis sessions, and single-center dialysis have a significant effect on the patency of the AV access, while the factors such as past tobacco usage, diabetes, hypertension, use of jugular catheter before access creation, and cannulation technique could not establish any statistical effect on the patency of AV access. Conclusion: There is a complex interaction of factors that may affect the patency of an individual AV access. These need to be carefully considered when selecting surgical site or technique, adjuvant treatments, and follow-up protocols for AVFs.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=5;spage=55;epage=59;aulast=Gangadharanarteriovenous accessfactorshemodialysispatency |
| spellingShingle | Ashwini Naveen Gangadharan Rajendra Basavanthappa Prasad Ranjith Kumar Anandasu J P Vivek Vardhan Chandrashekar Anagavalli Ramswamy Sanjay C Desai Adharsh Kumar Maruthu Pandian Nivedita Mitta Hemanth Kumar Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experience Indian Journal of Vascular and Endovascular Surgery arteriovenous access factors hemodialysis patency |
| title | Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experience |
| title_full | Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experience |
| title_fullStr | Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experience |
| title_full_unstemmed | Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experience |
| title_short | Factors affecting the long term patency of arteriovenous access for hemodialysis: A single center experience |
| title_sort | factors affecting the long term patency of arteriovenous access for hemodialysis a single center experience |
| topic | arteriovenous access factors hemodialysis patency |
| url | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=5;spage=55;epage=59;aulast=Gangadharan |
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