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Early use of autogenous arteriovenous fistula in patients with urgent hemodialysis

  • Nephrology – Original Paper
  • Published:
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Abstract

Purpose

This study was designed to evaluate the long-term patency rate and complications associated with early use of the autogenous forearm arteriovenous fistula (AFAVF) in patients needing urgent hemodialysis.

Methods

The clinical data of all patients undergoing AFAVFs for hemodialysis access between June 1996 and June 2016 were retrospectively evaluated. The primary and secondary patencies were estimated using the life table method.

Results

A total of 104 AFAVFs were created for 102 patients. All patients had entered hemodialysis when fistulas were constructed. The mean time to the first cannulation of the AFAVF was 17.33 ± 4.60 (5–27 days). Four AFAVFs (3.8%) became occluded within 30 days of creation of the access, and five AFAVFs (4.8%) had hematomas after cannulation. There were no cases of infection of the wound or steal syndrome or prolonged arm edema. The primary patency rate was 77.81% at 1 year, 73.05% at 2 years, 64.64% at 3 years, 60.75% at 5 years and 47.48% at 10 years. The secondary patency rate was 96.78% at 1 year, 95.18% at 5 years and 85.81% at 10 years.

Conclusions

In this study, the patency rates following the early use of the AFAVFs were not inferior to the previously reported patency rates in the literature. For patients entering hemodialysis with an inserted central catheter, the early use of the AFAVFs decreases the complications associated with catheters.

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Authors and Affiliations

  1. Department of Nephrology and Blood Purification Center, Jinan City Central Hospital, Shandong University, No. 105. Jiefang Road, Jinan, 250012, China

    Wanjun Ren, Huili Jiang, Yuejuan Du, Fang Liu & Xiaoping Wang

  2. Department of Nephrology, Qianfoshan Hospital, Shandong University, No. 16766. Jingshi Road, Jinan, 250011, Shandong, China

    Dongmei Xu

Authors
  1. Wanjun Ren
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  2. Huili Jiang
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  3. Yuejuan Du
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  4. Fang Liu
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  5. Xiaoping Wang
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  6. Dongmei Xu
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Correspondence to Dongmei Xu.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Ren, W., Jiang, H., Du, Y. et al. Early use of autogenous arteriovenous fistula in patients with urgent hemodialysis. Int Urol Nephrol 49, 1087–1093 (2017). https://doi.org/10.1007/s11255-017-1557-3

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  • DOI: https://doi.org/10.1007/s11255-017-1557-3

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