Evaluation of the relationship between proximal upper-extremity arteriovenous fistula patency and atherogenic index of plasma

被引:0
作者
Pala, Arda Aybars [1 ]
Urcun, Yusuf Salim [2 ]
Guven, Cengiz [2 ]
机构
[1] Univ Hlth Sci, Bursa Yuksek Ihtisas Training & Res Hosp, Dept Cardiovasc Surg, TR-16310 Bursa, Turkiye
[2] Adiyaman Training & Res Hosp, Dept Cardiovasc Surg, Adiyaman, Turkiye
关键词
Arteriovenous fistula patency; atherogenic index of plasma; chronic kidney disease; dyslipidemia; hemodialysis; DIALYSIS OUTCOMES; ASSOCIATION; RISK;
D O I
10.1177/03913988241269534
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
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. 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). 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. 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.
引用
收藏
页码:743 / 748
页数:6
相关论文
共 26 条
[1]   The Impact of the Blood Lipids Levels on Arterial Stiffness [J].
Baba, Mirela ;
Maris, Mihaela ;
Jianu, Daniela ;
Luca, Constantin Tudor ;
Stoian, Dana ;
Mozos, Ioana .
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE, 2023, 10 (03)
[2]   The cardiovascular-dialysis nexus: the transition to dialysis is a treacherous time for the heart [J].
Chan, Kevin ;
Moe, Sharon M. ;
Saran, Rajiv ;
Libby, Peter .
EUROPEAN HEART JOURNAL, 2021, 42 (13) :1244-+
[3]   Dyslipidemia Is Associated With Tunneled-Cuffed Catheter-Related Central Venous Thrombosis in Hemodialysis Patients: A Retrospective, Multicenter Study [J].
Cheng, Yuan ;
Cui, Tianlei ;
Fu, Ping ;
Liu, Fang ;
Zhou, Li .
ARTIFICIAL ORGANS, 2013, 37 (08) :E155-E161
[4]   Atherogenic index of plasma is related to arterial stiffness but not to blood pressure in normotensive and never-treated hypertensive subjects [J].
Choudhary, Manoj Kumar ;
Eraranta, Arttu ;
Koskela, Jenni ;
Tikkakoski, Antti J. ;
Nevalainen, Pasi I. ;
Kahonen, Mika ;
Mustonen, Jukka ;
Porsti, Ilkka .
BLOOD PRESSURE, 2019, 28 (03) :157-167
[5]   Serum lipid levels and the risk of venous thrombosis [J].
Doggen, CJM ;
Smith, NL ;
Lemaitre, RN ;
Heckbert, SR ;
Rosendaal, FR ;
Psaty, BM .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2004, 24 (10) :1970-1975
[6]   Vascular access use and outcomes: an international perspective from the dialysis outcomes and practice patterns study [J].
Ethier, Jean ;
Mendelssohn, David C. ;
Elder, Stacey J. ;
Hasegawa, Takeshi ;
Akizawa, Tadao ;
Akiba, Takashi ;
Canaud, Bernard J. ;
Pisoni, Ronald L. .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (10) :3219-3226
[7]   Association between venous thrombosis and dyslipidemia [J].
Garcia Raso, Aranzazu ;
Ene, Gabriela ;
Miranda, Carolina ;
Vidal, Rosa ;
Mata, Raquel ;
Llamas Sillero, M. Pilar .
MEDICINA CLINICA, 2014, 143 (01) :1-5
[8]   Arteriovenous fistula thrombosis is associated with increased all-cause and cardiovascular mortar in haemodialysis patients from the AURORA trial [J].
Girerd, Sophie ;
Girerd, Nicolas ;
Frimat, Luc ;
Holdaas, Hallvard ;
Jardine, Alan G. ;
Schmieder, Roland E. ;
Fellstrom, Bengt ;
Settembre, Nicla ;
Malikov, Sergei ;
Rossignol, Patrick ;
Zannad, Faiez .
CLINICAL KIDNEY JOURNAL, 2020, 13 (01) :116-122
[9]   Effects of plasma atherogenic index and plasma osmolality on arteriovenous fistula patency in hemodialysis patients [J].
Guven, Cengiz ;
Pala, Arda Aybars ;
Urcun, Yusuf Salim .
JOURNAL OF VASCULAR ACCESS, 2023, 24 (01) :64-70
[10]   Proximal Arteriovenous Fistulas in Hemodialysis Patients: Advantages and Disadvantages [J].
Guven, Cengiz ;
Uludag, Oznur .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (11)