Primary patency rate of Arteriovenous Fistula (AVF) and factors affecting its patency among Malaysian
The purpose of this study was to compare the maturity and patency rate of AVF being created at our centre in comparison to those being published elsewhere in the world. We are also analyzing different factors identified previously that may have affected this maturity and patency rate. This is...
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| Main Authors: | , , , , |
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| Format: | Book |
| Language: | English |
| Published: |
IIUM Press, International Islamic University Malaysia
2017
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/73662/1/73662_Primary%20patency%20rate%20of%20arteriovenous%20fistula%20%28avf%29%20and%20factors%20affecting%20its%20patency%20among%20malaysian.pdf http://irep.iium.edu.my/73662/ |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | The purpose of this study was to compare the maturity and patency rate of AVF being created at
our centre in comparison to those being published elsewhere in the world. We are also analyzing
different factors identified previously that may have affected this maturity and patency rate. This
is an observational cross sectional study including all patients underwent AVF creation between
1st of January 2013 to 31st December 2013. We analysed non-modifiable factors including age,
gender, presence of diabetes, presence of peripheral vascular disease and venous and artery
diameter, and modifiable factors including smoking status, BMI index, anti-platelets and statin
therapy and the site and side of AVF created, against the maturity and patency rate using a multi
variates analysis. Our maturity rate at 6 weeks is 89% and patency rate at 6 months is 61% and at
12 months is 57%. Although there was a positive trends towards a better maturity rate in those
who were treated with statin and with a bigger venous diameter, this was not statistically significant
and these trends fail to sustain towards patency rates at both 6 and 12 months. In conclusion, our
centre’s autologous AVF creation has been equally successful in comparison to other published
results worldwide. Our study population failed to show any relationship between some known risk
factors that has been shown by earlier study to have an effect on autologous AVF maturity and
patency |
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