Back to Search
Start Over
Evaluation of the relationship between proximal upper-extremity arteriovenous fistula patency and atherogenic index of plasma.
- Source :
-
The International journal of artificial organs [Int J Artif Organs] 2024 Oct; Vol. 47 (10), pp. 743-748. Date of Electronic Publication: 2024 Aug 24. - Publication Year :
- 2024
-
Abstract
- Background: The continuity of arteriovenous fistula (AVF) patency is essential for effective hemodialysis. In the present study, we aimed to investigate the relationship between AVF patency and atherogenic index of plasma (AIP) in patients with native proximal upper-extremity AVF.<br />Methods: A total of 143 patients with native proximal upper-extremity AVF created in our clinic between January 2014 and April 2022 were analyzed retrospectively. Those with at least 24 months of follow-up and intact AVF were defined as "Group 1" ( n = 97), and those with AVF thrombosis were defined as "Group 2" ( n = 46).<br />Results: The primary patency rates of the patient groups included in the study were found to be 88.1% at 6th month, 79% at 12th month, and 67.8% at 24th month. The mean AIP values that were calculated in Group 2 were found to be statistically significantly higher than the mean value calculated in Group 1 (0.30 ± 0.12 vs 0.20 ± 0.10, p < 0.001). In a multivariate logistic regression analysis made to identify the predictors of proximal upper-extremity AVF thrombosis development, total cholesterol (OR [odds ratio] = 2.259, 95% CI [confidence interval] = 1.468-3.475, p < 0.001), and triglyceride (OR = 13.777, 95% CI = 3.740-50.750, p < 0.001) were identified as independent predictors.<br />Conclusion: A significant relationship was detected in the analyses between the easily calculated AIP values and the development of AVF thrombosis. The AIP is a remarkable preoperative parameter regarding proximal upper-extremity AVF patency.<br />Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Subjects :
- Humans
Male
Female
Middle Aged
Retrospective Studies
Aged
Adult
Atherosclerosis physiopathology
Atherosclerosis blood
Atherosclerosis surgery
Graft Occlusion, Vascular physiopathology
Graft Occlusion, Vascular etiology
Risk Factors
Arteriovenous Shunt, Surgical adverse effects
Vascular Patency
Upper Extremity blood supply
Renal Dialysis
Thrombosis etiology
Thrombosis physiopathology
Thrombosis blood
Subjects
Details
- Language :
- English
- ISSN :
- 1724-6040
- Volume :
- 47
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- The International journal of artificial organs
- Publication Type :
- Academic Journal
- Accession number :
- 39180342
- Full Text :
- https://doi.org/10.1177/03913988241269534