Learning curve for arteriovenous fistula creation
Objective: Amount of time and number of procedures required in junior surgeon (JS) to achieve arteriovenous fistula (AVF) patency rate of surgeon with 20 years of experience. Methods: A single-center, retrospective, case–control study of AVF primary patency rate at 1 year postoperatively was observe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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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=4;spage=317;epage=320;aulast=Neretljak |
| _version_ | 1819283077141102592 |
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| author | Ivan Neretljak Hrvoje Smojver Mario Sučić Lidija Erdelez |
| author_facet | Ivan Neretljak Hrvoje Smojver Mario Sučić Lidija Erdelez |
| author_sort | Ivan Neretljak |
| collection | DOAJ |
| description | Objective: Amount of time and number of procedures required in junior surgeon (JS) to achieve arteriovenous fistula (AVF) patency rate of surgeon with 20 years of experience. Methods: A single-center, retrospective, case–control study of AVF primary patency rate at 1 year postoperatively was observed among junior and experienced surgeon (ES) over a 4-year period. Fistula was created by terminolateral anastomosis in a fashion of continuous suture with nonabsorbable double-armed 7-0 monofilament. Maturation was grounded on the physical examination and fistula ultrasound 6 weeks postoperatively. Results: One hundred and twelve patients, 65% male and 35% female, were included in the study in 4 year period, 2015–2018. There were 51% radiocephalic and 49% brachiocephalic fistulas constructed by JS. Patency rate for JS was 66% overall, combining 64% for radiocephalic and 67% for brachiocephalic, compared to ESs 79%, performing only brachiocephalic fistulas. In the first 3 years, patency rate was 63%, 60%, and 66%, while significant improvement was accomplished in the the 4th year with patency rate of 75%. Average time for hemodialysis initiation was 88 days postoperatively. Conclusions: Three years and approximately 60 procedures are required for JS to produce results comparable to ES in creation of AVF. |
| first_indexed | 2024-12-24T01:25:44Z |
| format | Article |
| id | doaj.art-fac813e08a56489da5334d2b7aa5fac1 |
| institution | Directory Open Access Journal |
| issn | 0972-0820 2394-0999 |
| language | English |
| last_indexed | 2024-12-24T01:25:44Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj.art-fac813e08a56489da5334d2b7aa5fac12022-12-21T17:22:31ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992021-01-018431732010.4103/ijves.ijves_59_21Learning curve for arteriovenous fistula creationIvan NeretljakHrvoje SmojverMario SučićLidija ErdelezObjective: Amount of time and number of procedures required in junior surgeon (JS) to achieve arteriovenous fistula (AVF) patency rate of surgeon with 20 years of experience. Methods: A single-center, retrospective, case–control study of AVF primary patency rate at 1 year postoperatively was observed among junior and experienced surgeon (ES) over a 4-year period. Fistula was created by terminolateral anastomosis in a fashion of continuous suture with nonabsorbable double-armed 7-0 monofilament. Maturation was grounded on the physical examination and fistula ultrasound 6 weeks postoperatively. Results: One hundred and twelve patients, 65% male and 35% female, were included in the study in 4 year period, 2015–2018. There were 51% radiocephalic and 49% brachiocephalic fistulas constructed by JS. Patency rate for JS was 66% overall, combining 64% for radiocephalic and 67% for brachiocephalic, compared to ESs 79%, performing only brachiocephalic fistulas. In the first 3 years, patency rate was 63%, 60%, and 66%, while significant improvement was accomplished in the the 4th year with patency rate of 75%. Average time for hemodialysis initiation was 88 days postoperatively. Conclusions: Three years and approximately 60 procedures are required for JS to produce results comparable to ES in creation of AVF.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=4;spage=317;epage=320;aulast=Neretljakarteriovenous fistula patencydialysis accessend-stage renal diseasehemodialysislearning curve |
| spellingShingle | Ivan Neretljak Hrvoje Smojver Mario Sučić Lidija Erdelez Learning curve for arteriovenous fistula creation Indian Journal of Vascular and Endovascular Surgery arteriovenous fistula patency dialysis access end-stage renal disease hemodialysis learning curve |
| title | Learning curve for arteriovenous fistula creation |
| title_full | Learning curve for arteriovenous fistula creation |
| title_fullStr | Learning curve for arteriovenous fistula creation |
| title_full_unstemmed | Learning curve for arteriovenous fistula creation |
| title_short | Learning curve for arteriovenous fistula creation |
| title_sort | learning curve for arteriovenous fistula creation |
| topic | arteriovenous fistula patency dialysis access end-stage renal disease hemodialysis learning curve |
| url | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=4;spage=317;epage=320;aulast=Neretljak |
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