Evaluation of Risk Factors for Arteriovenous Fistula Failure in Patients Undergoing Hemodialysis

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dc.contributor.authorSari, Funda
dc.contributor.authorTaskapan, Hulya
dc.contributor.authorSigirci, Ahmet
dc.contributor.authorAkpinar, Besir
dc.date.accessioned2019-09-20T13:01:25Z
dc.date.available2019-09-20T13:01:25Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: The aim of the present study is to evaluate the relationship between demographic characteristics, hematological and biochemical parameters, and elements of the coagulation system that may predispose a person to thrombosis or to anatomical and functional parameters in Doppler ultrasonography scanning and the maturation and adequacy of arteriovenous fistulas. Materials and Methods: Overall, 36 patients who underwent a native arteriovenous fistula operation were included. Biochemical parameters, hematological parameters, the coagulation system, and a Doppler ultrasonography evaluation were performed before an arteriovenous fistula operation on day 1 after the fistula operation and at the time point when the arteriovenous fistula became dysfunctional. Results: A thrombus occurred between 1 and 73 days (mean: 28.4 +/- 26.1) in 10 patients. It was found that the female gender (p<0.001), presence of thrill (p=0.014), quality of vein (p<0.001), peak systolic velocity and end-diastolic velocity of the radial artery at the snuffbox region on day 1 after the operation (p=0.035 and p=0.049, respectively), and the cephalic vein diameter in the Brescia-Cimino region (p=0.011) were associated with thrombosis formation. No relation was found among blood pressure, fistula region, quality of artery, spasm of artery and vein, hematologic and biochemical parameters, coagulation parameters, active protein C resistance, anti-cardiolipin antibody, D-dimer, C-reactive protein, or erythrocyte sedimentation rate and thrombosis formation (p>0.05). Conclusion: Thrombosis occurs at a relatively early period in approximately a quarter of arteriovenous fistulas. Female gender, quality of vein, and the absence of thrill in the post-operative period are important factors in thrombosis formation.en_US
dc.identifier.citationSari, F . Taskapan, H. Sigirci, A .Akpinar, B. (2016). Evaluation of Risk Factors for Arteriovenous Fistula Failure in Patients Undergoing Hemodialysis. Cilt:38. Sayı:1. 12-19 ss.en_US
dc.identifier.doi10.5152/etd.2016.0052en_US
dc.identifier.endpage19en_US
dc.identifier.issn2149-2247
dc.identifier.issn2149-2549
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-84966671772en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage12en_US
dc.identifier.trdizinid205024en_US
dc.identifier.urihttps://doi.org/10.5152/etd.2016.0052
dc.identifier.urihttps://hdl.handle.net/11616/14182
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/205024
dc.identifier.volume38en_US
dc.identifier.wosWOS:000372329600004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAves, buyukdere cad 105-9, mecıdıyekoy, sıslı, ıstanbul 34394, turkeyen_US
dc.relation.ispartofErcıyes medıcal journalen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/restrictedAccessen_US
dc.subjectVascular accessen_US
dc.subjectdıalysıs outcomesen_US
dc.subjectpractıce patternsen_US
dc.subjectrenal-dıseaseen_US
dc.subjectunıted-statesen_US
dc.subjectsurvıvalen_US
dc.subjectcomplıcatıonsen_US
dc.subjectexperıenceen_US
dc.subjectthrombosısen_US
dc.titleEvaluation of Risk Factors for Arteriovenous Fistula Failure in Patients Undergoing Hemodialysisen_US
dc.typeArticleen_US

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