PMID- 33594022
OWN - NLM
STAT- MEDLINE
DCOM- 20210218
LR  - 20210218
IS  - 1812-2078 (Electronic)
IS  - 1812-2027 (Linking)
VI  - 18
IP  - 70
DP  - 2020 Apr-Jun
TI  - Functional Outcomes of Arteriovenous Fistulas Created by Nephrologist.
PG  - 155-159
AB  - Background Nephrologists worldwide, after undergoing surgical training, have 
      reported creating arteriovenous fistulas (AVFs). Objective To demonstrate the 
      functional outcome of arteriovenous fistulas created by a trained Nepalese 
      nephrologist. Method This was a cross sectional study. A convenient sampling 
      method was used and all consecutive AVFs created by a single nephrologist from 
      January 2016 to December 2018 were included to assess their functional status 
      within 3 months of creation. Patients with incomplete data and no follow up for 
      up to 3 months post surgery were excluded. Result One hundred sixty six (166) 
      arteriovenous fistulas were created during the study period; mean age of the 
      patients was 52 +/- 14 years, 121 (75%) male and 65 (39%) were diabetic. The most 
      common site of arteriovenous fistula creation was left radiocephalic (Lt RC) 
      69(41.5%), followed by left brachiocephalic (Lt BC) 66(39.7%). Other sites were 
      left brachiobasilic (Lt BB) 10(6%), right brachiocephalic (Rt BC) 10(6%), right 
      radiocephalic (Rt RC) 9(5.4%) and right brachiobasilic (Rt BB) 2(1.2%). 139 
      arteriovenous fistulas (83.7%) were functional within 3 months post creation. 
      Functional outcomes of radiocephalic, brachiocephalic and brachiobasilic 
      arteriovenous fistulas were 75.6%, 90.7% and 100% respectively at 3 months post 
      creation. Lymphoceles developed in three Lt BC arteriovenous fistulas, thrombosis 
      in two Lt BC arteriovenous fistulas and infection in two Lt BC arteriovenous 
      fistulas with pseudoaneurysm formation. Conclusion The functional outcome of 
      arteriovenous fistulas created by a trained Nepalese nephrologist is similar to 
      that reported in the literature.
FAU - Shrestha, S
AU  - Shrestha S
AD  - Department of Medicine, Nobel Medical College Teaching Hospital, Biratnagar, 
      Nepal.
FAU - Soni, S S
AU  - Soni SS
AD  - United Ciggma Hospital, Aurangabad, India.
FAU - Vachharajani, T J
AU  - Vachharajani TJ
AD  - Glickman and Kidney Institute, Cleveland Clinic Lerner College of Medicine and 
      Cleveland Clinic Foundation, Cleveland, OH, USA.
LA  - eng
PT  - Journal Article
PL  - Nepal
TA  - Kathmandu Univ Med J (KUMJ)
JT  - Kathmandu University medical journal (KUMJ)
JID - 101215359
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Arteriovenous Fistula
MH  - *Arteriovenous Shunt, Surgical
MH  - Cross-Sectional Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nephrologists
MH  - Renal Dialysis
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Vascular Patency
EDAT- 2021/02/18 06:00
MHDA- 2021/02/20 06:00
CRDT- 2021/02/17 05:44
PHST- 2021/02/17 05:44 [entrez]
PHST- 2021/02/18 06:00 [pubmed]
PHST- 2021/02/20 06:00 [medline]
PST - ppublish
SO  - Kathmandu Univ Med J (KUMJ). 2020 Apr-Jun;18(70):155-159.