Cited 0 times in Scipus Cited Count

Clinical significance of upper-arm cephalic vein patency in autogenous radial-cephalic wrist fistulas for hemodialysis

DC Field Value Language
dc.contributor.authorLee, JH-
dc.contributor.authorWon, JH-
dc.contributor.authorOh, CK-
dc.contributor.authorJung, HA-
dc.date.accessioned2013-05-02T04:10:11Z-
dc.date.available2013-05-02T04:10:11Z-
dc.date.issued2012-
dc.identifier.issn1078-5884-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/8155-
dc.description.abstractOBJECTIVES: To investigate the significance of upper-arm cephalic veins (UACVs) in radial-cephalic arteriovenous fistulas (RCAVFs), the medical records of 183 patients who had undergone RCAVF creation were reviewed retrospectively.



METHODS: The patients were divided into two groups according to the status of the UACV upon preoperative venography: group A of 153 cases (83.6%) with a patent UACV and group B of 30 cases (16.3%) with a stenosed or occluded UACV. The clinical outcomes were compared.



RESULT: RCAVFs in group B had a significantly higher maturation failure rate (26.7% vs. 9.8%, p = 0.009) and lower primary/secondary patency rates (log-rank test, p < 0.0001) than those in the group A. The patients in group B required more frequent endovascular intervention to maintain access function (p = 0.002). The most common stenosis site was a draining vein in group B, in comparison to juxta-anastomosis in group A. In the multivariate analyses, the status of the UACV was an independent predictor of the primary and secondary patency rates of RCAVFs (p < 0.005).



CONCLUSION: UACV patency has a significant impact on clinical outcome for RCAVFs. When planning an RCAVF placement, venous status including the UACV should be considered.
-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHArteriovenous Shunt, Surgical-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHConstriction, Pathologic-
dc.subject.MESHEndovascular Procedures-
dc.subject.MESHFemale-
dc.subject.MESHGraft Occlusion, Vascular-
dc.subject.MESHHumans-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHPhlebography-
dc.subject.MESHProportional Hazards Models-
dc.subject.MESHRadial Artery-
dc.subject.MESHRenal Dialysis-
dc.subject.MESHReoperation-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRisk Factors-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Patency-
dc.subject.MESHVeins-
dc.subject.MESHWrist-
dc.titleClinical significance of upper-arm cephalic vein patency in autogenous radial-cephalic wrist fistulas for hemodialysis-
dc.typeArticle-
dc.identifier.pmid23022033-
dc.identifier.urlhttp://linkinghub.elsevier.com/retrieve/pii/S1078-5884(12)00608-9-
dc.contributor.affiliatedAuthor이, 종훈-
dc.contributor.affiliatedAuthor원, 제환-
dc.contributor.affiliatedAuthor오, 창권-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.ejvs.2012.08.017-
dc.citation.titleEuropean journal of vascular and endovascular surgery-
dc.citation.volume44-
dc.citation.number5-
dc.citation.date2012-
dc.citation.startPage514-
dc.citation.endPage520-
dc.identifier.bibliographicCitationEuropean journal of vascular and endovascular surgery, 44(5). : 514-520, 2012-
dc.identifier.eissn1532-2165-
dc.relation.journalidJ010785884-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
Files in This Item:
There are no files associated with this item.

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse