Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12188/14598
Title: Impact of preoperative arterial and venous diameter on achievement of the adequate blood flow in arteriovenous fistula for hemodialysis
Authors: Gjorgjievski, Nikola 
Dzekova Vidimliski, Pavlina 
Trajcheska, Lada 
Stojanoska, Ana 
Selim, GJulshen 
Rambabova Bushljetic, Irena 
Nikolov, Igor 
Gjorgievska, Juija
Janevski, Zoran 
Muharremi, Shkleqim
Dejanov, Petar 
Spasovski, Goce 
Shikole, Aleksandar 
Ivanovski, Ninoslav
Issue Date: Jun-2020
Publisher: Wiley
Journal: Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
Abstract: An arteriovenous fistula (AVF) remains the best choice of vascular access (VA) for hemodialysis (HD). The aim of the study was to determine the factors associated with the achievement of adequate blood flow (BF) of AVFs at the 4th week after creation. Created AVFs in 63 patients with chronic kidney disease (CKD) stage 4/5 and CKD stage 5 on hemodialysis (CKD5D) were analyzed in a prospective study. Doppler ultrasound (DUS) was used for measuring the diameter of the radial artery, the brachial artery and the cephalic vein before AVF creation. The BF of AVF was calculated by DUS at the 4th week after creation and adequate BF was defined as ≥ 600 mL/min. The average age of patients was 61.31 ± 12.9 years. An adequate BF of AVF at the 4th week after creation was achieved in 43.54% of patients. The BF of AVF measured in male patients was significantly higher compared to the BF of AVF obtained in females (576.03 mL/min vs 375.12 mL/min, P = 0.004). The diameter of the blood vessels with achieved adequate BF was significantly larger compared to the diameter of the blood vessels without adequate BF (radial artery: 2.45 mm vs 2.03 mm, P = 0.000; brachial artery: 4.78 mm vs 4.06 mm, P = 0.001 and cephalic vein: 3.12 mm vs 2.83 mm P =  0.018). The gender and the diameter of the blood vessels before AVF creation were significantly associated with achievement of adequate BF of AVF at the 4th week of creation.
URI: http://hdl.handle.net/20.500.12188/14598
DOI: 10.1111/1744-9987.13570
Appears in Collections:Faculty of Medicine: Journal Articles

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