Comparison of the efficacy of upper arm transposed arteriovenous fistulae and upper arm prosthetic grafts

Woo, Karen; Doros, Gheorghe; Ng, Tina T.; Farber, Alik

doi:10.1016/j.jvs.2009.07.090

Cited by 45 publications

(29 citation statements)

References 37 publications

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“…To this end, Dialysis Outcome Quality Initiative (DOQI) has issued guidelines regarding the preference for AVF construction when feasible (6). Well-developed AVFs demonstrate significant advantages compared with prosthetic bridge grafts when comparisons between rates of patency and infection are performed (7). Those benefits notwithstanding, a suboptimal fistula that cannot be consistently and reliably accessed will require the prolonged usage of an indwelling tunneled CVC, a factor that increases the potential for catheter-related complications.…”

Section: Discussionmentioning

confidence: 99%

Retracted: Unrecognized High Brachial Artery Bifurcation is Associated with Higher Rate of Dialysis Access Failure

Kirksey

2011

Seminars in Dialysis

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A thorough consideration of all factors contributing to successful dialysis access creation is necessary to achieve optimal outcomes. A high bifurcation of the brachial artery (brachioradial variant) occurs in greater than 20% of patients. Dialysis access was created in 22 limbs with this variant--15 fistula, and 7 prosthetic grafts. Nonmaturation occurred in 33% of fistula. Early thromboses occurred in 29% of prosthetic bridge grafts. In this experience, the brachioradial variant is associated with a relatively higher rate of fistula nonmaturation and prosthetic graft thromboses. These findings reinforce the critical role of preoperative imaging studies in dialysis access creation. A sound algorithm for the surgical management of the brachioradial variation facilitates decision making and will improve dialysis access outcomes.

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Section: Discussionmentioning

confidence: 99%

Retracted: Unrecognized High Brachial Artery Bifurcation is Associated with Higher Rate of Dialysis Access Failure

Kirksey

2011

Seminars in Dialysis

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“…Woo et al [8] showed in his research about comparison between autogenous arteriovenous fistula using venous transposition and linear shaped prosthetic graft that autogenous fistula was better than prosthetic graft in both primary(48% vs. 14%) and secondary(57% vs. 19%) patency rate at 5-year. In addition, revision frequency for secondary patency was significantly lower in autogenous arteriovenous fistula.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Hemodialysis Vascular Access: Comparision of Autogenous Arterioveonus Fistula & Arteriovenous Prosthetic Graft

Kim

et al. 2011

Korean J Thorac Cardiovasc Surg

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BackgroundMature autogenous arteriovenous fistulas have better long term patency and require fewer secondary interventions compared to arteriovenous prosthetic graft. Our Study evaluated vascular patency rates and incidence of interventions in autogenous arteriovenous fistulas and grafts.Material and MethodsA total of 166 vascular access operations were performed in 153 patients between December 2002 and November 2009. Thirty seven caeses were excluded due to primary access failure and loss of follow-up. One group of 92 autogenous arterioveous fistulas and the other group of 37 arteriovenous prosthetic grafts were evaluated retrospectively. Primary and secondary patency rates were estimated using the Kaplan-Meier method.ResultsThe primary patency rate (84%, 67%, 51% vs. 51%, 22%, 9% at 1, 3, 5 year; p=0.0000) and secondary patency rate (96%, 88%, 68% vs. 88%, 65%, 16% at 1. 3, 5 year; p=0.0009) were better in autogenous fistula group than prosthetic graft group. Interventions to maintain secondary patency were required in 23% of the autogenous fistula group (average 0.06 procedures/patient/year) and 65% of prosthetic graft group (average 0.21 procedures/patient/year). So the autogenous fistula group had fewer intervention rate than prosthetic graft group (p=0.01) The risk factor of primary patency was diabetus combined with ischemic heart disease and the secondary patency's risk factor was age.ConclusionAutogenous arteriovenous fistulas showed better performance compared to prosthetic grafts in terms of primary & secondary patency and incidence of interventions.

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“…Once functional, AVFs have better patency rates and fewer complications than arteriovenous grafts and hemodialysis catheters. (1, 2) Nevertheless, newly created AVFs are susceptible to primary failure. This common complication is defined as the AVF that never matures to support cannulation with 2 hemodialysis needles, or fails within the first 3 months after its initial cannulation.…”

Section: Introductionmentioning

confidence: 99%

Dialysis Arteriovenous Fistula Failure and Angioplasty: Intimal Hyperplasia and Other Causes of Access Failure

Duque

Tabbara

Martinez

et al. 2017

American Journal of Kidney Diseases

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Arteriovenous fistula (AVF) is the preferred hemodialysis access type because it has better patency rates and fewer complications than other access types. However, primary failure remains a common problem impeding AVF maturation and adding to patients’ morbidity and mortality. Juxta-anastomotic (or inflow) stenosis is the most common reason leading to primary failure, and percutaneous transluminal angioplasty (PTA) continues to be the gold standard treatment with excellent success rates. Intimal hyperplasia (IH) has been traditionally blamed as the main pathophysiologic culprit, but new evidence raises doubts regarding the contribution of IH alone to primary failure. We report a 64-year-old man with a two-stage brachio-basilic AVF that was complicated by failure four months after creation. Angiogram showed multiple juxta-anastomotic and mid-fistula stenotic lesions. PTA was successful in assisting maturation and subsequently cannulating AVF for hemodialysis treatment. We failed to identify the underlying cause of stenosis as biopsy specimens from fistula tissue obtained at the time of transposition revealed no occlusive IH. This case emphasizes the need for additional research on factors contributing to AVF failure besides IH, and highlights the need for more therapeutic options to reduce AVF failure rate.

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Comparison of the efficacy of upper arm transposed arteriovenous fistulae and upper arm prosthetic grafts

Cited by 45 publications

References 37 publications

Retracted: Unrecognized High Brachial Artery Bifurcation is Associated with Higher Rate of Dialysis Access Failure

Retracted: Unrecognized High Brachial Artery Bifurcation is Associated with Higher Rate of Dialysis Access Failure

Clinical Analysis of Hemodialysis Vascular Access: Comparision of Autogenous Arterioveonus Fistula & Arteriovenous Prosthetic Graft

Dialysis Arteriovenous Fistula Failure and Angioplasty: Intimal Hyperplasia and Other Causes of Access Failure

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