Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factors
Timely creation of an arteriovenous fistula is not always feasible. The aim was to determine the key factors for functionality and maturation of arteriovenous fistulas in relation to timing of its creation. The research was conducted at the Department of Nephrology and Dialysis, Kragujevac Univer...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2024-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/474039 |
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| author | Radojica V. Stolić Mirjana Pajčin Vekoslav Mitrović Nataša D. Zdravković Saša Sovtić= Snežana Marković-Jovanović Slavica Pajović Kristina Bulatović Branka Mitić Dragiša Rašić |
| author_facet | Radojica V. Stolić Mirjana Pajčin Vekoslav Mitrović Nataša D. Zdravković Saša Sovtić= Snežana Marković-Jovanović Slavica Pajović Kristina Bulatović Branka Mitić Dragiša Rašić |
| author_sort | Radojica V. Stolić |
| collection | DOAJ |
| description | Timely creation of an arteriovenous fistula is not always feasible. The aim was to
determine the key factors for functionality and maturation of arteriovenous fistulas in relation to timing
of its creation. The research was conducted at the Department of Nephrology and Dialysis, Kragujevac
University Clinical Center, Kragujevac, Serbia, in patients who had had a fistula surgically created
over a period of fifteen years. A total of 1089 patients were registered. All clinical and biochemical
parameters that were of interest for this study were analyzed. The group of patients with fistulas created
before the start of hemodialysis was statistically different from the group of patients whose fistulas
were created after the start of hemodialysis according to vein lumen (p=0.005), systolic blood pressure
(p<0.001), total cholesterol (p<0.001), HDL cholesterol (p=0.008) and LDL cholesterol (p<0.001).
Predictive parameters of the initial dysfunction were vein diameter (p=0.004), cholesterol (p=0.008)
and LDL cholesterol (p=0.033), while the maturation parameter was systolic blood pressure (p=0.042).
In conclusion, predictive parameters of initial fistula dysfunction are vein diameter, cholesterol and
LDL cholesterol, while systolic blood pressure is most important for maturation. |
| format | Article |
| id | doaj-art-035355ac53e2406eb0d18d53388cbd70 |
| institution | DOAJ |
| issn | 0353-9466 1333-9451 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj-art-035355ac53e2406eb0d18d53388cbd702025-08-20T03:11:43ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512024-01-0163.236837510.20471/acc.2024.63.02.13Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factorsRadojica V. Stolić0Mirjana Pajčin1Vekoslav Mitrović2Nataša D. Zdravković3Saša Sovtić=4Snežana Marković-Jovanović5Slavica Pajović6Kristina Bulatović7Branka Mitić8Dragiša Rašić9University of Kragujevac, Faculty of Medical Sciences, Department of Internal Medicine, Kragujevac, SerbiaUniversity of Pristina/Kosovska Mitrovica, Faculty of Medicine, Pristina/Kosovska Mitrovica, SerbiaUniversity of East Sarajevo, Faculty of Medicine, Republika Srpska, Foča, Bosnia and HerzegovinaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Internal Medicine, Kragujevac, SerbiaUniversity of Pristina/Kosovska Mitrovica, Faculty of Medicine, Pristina/Kosovska Mitrovica, SerbiaUniversity of Pristina/Kosovska Mitrovica, Faculty of Medicine, Pristina/Kosovska Mitrovica, SerbiaUniversity of Pristina/Kosovska Mitrovica, Faculty of Medicine, Pristina/Kosovska Mitrovica, SerbiaUniversity of Pristina/Kosovska Mitrovica, Faculty of Medicine, Pristina/Kosovska Mitrovica, SerbiaUniversity of Niš, Faculty of Medicine, Niš, SerbiaUniversity of Pristina/Kosovska Mitrovica, Faculty of Medicine, Pristina/Kosovska Mitrovica, SerbiaTimely creation of an arteriovenous fistula is not always feasible. The aim was to determine the key factors for functionality and maturation of arteriovenous fistulas in relation to timing of its creation. The research was conducted at the Department of Nephrology and Dialysis, Kragujevac University Clinical Center, Kragujevac, Serbia, in patients who had had a fistula surgically created over a period of fifteen years. A total of 1089 patients were registered. All clinical and biochemical parameters that were of interest for this study were analyzed. The group of patients with fistulas created before the start of hemodialysis was statistically different from the group of patients whose fistulas were created after the start of hemodialysis according to vein lumen (p=0.005), systolic blood pressure (p<0.001), total cholesterol (p<0.001), HDL cholesterol (p=0.008) and LDL cholesterol (p<0.001). Predictive parameters of the initial dysfunction were vein diameter (p=0.004), cholesterol (p=0.008) and LDL cholesterol (p=0.033), while the maturation parameter was systolic blood pressure (p=0.042). In conclusion, predictive parameters of initial fistula dysfunction are vein diameter, cholesterol and LDL cholesterol, while systolic blood pressure is most important for maturation.https://hrcak.srce.hr/file/474039Predictive parametersInitial functionMaturationArteriovenous fistulaTiming of creation |
| spellingShingle | Radojica V. Stolić Mirjana Pajčin Vekoslav Mitrović Nataša D. Zdravković Saša Sovtić= Snežana Marković-Jovanović Slavica Pajović Kristina Bulatović Branka Mitić Dragiša Rašić Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factors Acta Clinica Croatica Predictive parameters Initial function Maturation Arteriovenous fistula Timing of creation |
| title | Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factors |
| title_full | Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factors |
| title_fullStr | Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factors |
| title_full_unstemmed | Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factors |
| title_short | Arteriovenous fistula for hemodialysis in relation to the timing of creation: analysis of key factors |
| title_sort | arteriovenous fistula for hemodialysis in relation to the timing of creation analysis of key factors |
| topic | Predictive parameters Initial function Maturation Arteriovenous fistula Timing of creation |
| url | https://hrcak.srce.hr/file/474039 |
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