지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 41 - 46 (6page)
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초록· 키워드
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Background: The patency of arteriovenous access is important for stable andeffective hemodialysis, and long-term technical survival is best achieved with anative arteriovenous fistula (AVF). However, maintaining AVF patency remains achallenge. This study was designed to determine the independent prognostic factorsfor AVF patency according to hemodialysis duration.
Methods: The primary study end point was unassisted patency of the AVF, whichwas defined as the time from the first fistula surgery to the first AVF failure. AVFfailure was defined as an event that required percutaneous intervention or surgeryto revise or replace the fistula, which occurred at least 2 months after fistulaformation.
Results: We enrolled 478 patients with a mean age of 55.5714.0 years, and meanduration of dialysis was 2.572.1 years. There were 109 cases (22.8%) of AVF failure.
The factors related to AVF patency differed according to hemodialysis duration.
Using a Cox-adjusted model, we observed a significant correlation between theincidence of AVF failure and diabetes within the initial 12 months of hemodialysis.
Uncontrolled hyperphosphatemia (mean serum phosphorus45.5 mg/dL duringhemodialysis) was associated with patency loss of AVF after 1 year of hemodialysis.
Conclusion: Various factors were associated with the development of patency lossof AVF as hemodialysis duration differed, and a preventive role of hyperphosphatemiacontrol in AVF survival needs further clinical study.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Dember LM / 2008 / Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: a randomized controlled trial / JAMA 299:2164~2171
Ohira S / 2006 / Evaluation of primary failure in native AV-fistulae(early fistula failure) / Hemodial Int 10:173~179
Erkut B / 2006 / Primary arteriovenous fistulas in the forearm for hemodialysis : effect of miscellaneous factors in fistula patency / Ren Fail 28:275~281
Woods JD / 1997 / Vascular access survival among incident hemodialysis patients in the United States / Am J Kidney Dis 30:50~57
Fukasawa M / 2003 / The methylentetrahydrofolate reductase C677T point mutation is a risk factor for vascular access thrombosis in hemodialysis patients / Am J Kidney Dis 41:637~642
Ohira S / 2006 / Evaluation of primary failure in native AV-fistulae(early fistula failure) / Hemodial Int 10:173~179
Erkut B / 2006 / Primary arteriovenous fistulas in the forearm for hemodialysis : effect of miscellaneous factors in fistula patency / Ren Fail 28:275~281
Woods JD / 1997 / Vascular access survival among incident hemodialysis patients in the United States / Am J Kidney Dis 30:50~57
Fukasawa M / 2003 / The methylentetrahydrofolate reductase C677T point mutation is a risk factor for vascular access thrombosis in hemodialysis patients / Am J Kidney Dis 41:637~642
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