کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278737 1611501 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Arteriovenous grafts have higher secondary patency in the short term compared with autologous fistulae
ترجمه فارسی عنوان
پیوند آرترووووژن در کوتاه مدت نسبت به فیستول های اتولوگ بسیار بالا است
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundTo estimate patency of arteriovenous fistulas (AVFs) and grafts (AVGs) for dialysis access.MethodsRecords of all adult patients who had a dialysis access placed from January 2008 to June 2011 were retrospectively reviewed.ResultsA total of 494 patients with 655 accesses (390 AVFs, 265 AVGs) were examined. We found that AVG fared worse in assisted primary patency. But AVG had superior secondary patency up to 1.2 years (hazard ratio [HR] .6, confidence interval [CI]: [.4 to .8]) and was no different than AVF after 1.2 years. (HR 1.6, CI: [.9 to 3.1]). On univariate analysis, dialysis catheters negatively impacted assisted primary patency (HR 1.4, CI: [1.09 to 1.77]).ConclusionsAVG can be maintained with higher rates of secondary patency in the short term and are no different in the long term. This result suggests that in patients with limited life expectancy an AVG may be an effective alternative to an AVF to reduce both catheter time and associated complications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 208, Issue 5, November 2014, Pages 800–805
نویسندگان
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