TYPES AND SITES OF AV FISTULAS IN DIALYSIS PATIENTS
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Keywords
Arteriovenous Fistula, Hand Grip Strength, Hemodialysis, Chronic Kidney Disease, Vascular Access
Abstract
Introduction: Arteriovenous fistulas (AVFs) are the preferred vascular access for hemodialysis in chronic kidney disease (CKD) patients, with types and sites influencing functionality and complications. This study evaluates AVF characteristics and their impact on hand grip strength.
Objective: To evaluate the prevalence and characteristics of different types and anatomical sites of AVFs in CKD patients undergoing hemodialysis, focusing on their clinical implications.
Materials and Method: A quasi-experimental study at Ali Fatima Hospital, Bhobatian Chowk, Raiwind Road, Lahore, Pakistan from February, 2024 to July, 2024 enrolled 90 CKD patients aged 20–60 years undergoing AVF placement. Hand grip strength was measured pre- and post-AVF using a manual dynamometer. Data on AVF types and sites were analyzed using IBM-SPSS version 26.
Results: Brachiocephalic AVFs predominated (80%), mostly in the left arm (95.56%). Hand grip strength decreased significantly post-AVF (21.00 ± 7.35 kg to 19.22 ± 7.92 kg, p < 0.001).
Conclusion: Brachiocephalic AVFs are common, with significant hand grip strength reduction post-placement, necessitating postoperative rehabilitation.
References
2. Letachowicz, K., Bardowska, K., Królicki, T., Kamińska, D., Banasik, M., Zajdel, K., Mazanowska, O., Madziarska, K., Janczak, D. and Krajewska, M., 2021. The impact of location and patency of the arteriovenous fistula on quality of life of kidney transplant recipients. Renal Failure, 43(1), pp.113-122.
3. Huber, T.S., Berceli, S.A., Scali, S.T., Neal, D., Anderson, E.M., Allon, M., Cheung, A.K., Dember, L.M., Himmelfarb, J., Roy-Chaudhury, P. and Vazquez, M.A., 2021. Arteriovenous fistula maturation, functional patency, and intervention rates. JAMA surgery, 156(12), pp.1111-1119.
4. Sahasrabudhe, P. and Bindu, A., 2021. Nuances of arteriovenous fistula creation for vascular access in hemodialysis. Indian Journal of Plastic Surgery, 54(03), pp.257-263.
5. Manov, J.J., Mohan, P.P. and Vazquez-Padron, R., 2022. Arteriovenous fistulas for hemodialysis: Brief review and current problems. The journal of vascular access, 23(5), pp.839-846.
6. Ahmed, O.F., Hamodat, O.M., Kakamad, F.H., Abduljabbar, R.S., Salih, A.M., Omar, D.A., Mustafa, M.Q., Hassan, M.N., Mohammed, S.H., Mikael, T.M. and Najar, K.A., 2021. Outcomes of arteriovenous fistula for hemodialysis in pediatric age group. Annals of Medicine and Surgery, 72, p.103100.
7. Zhang, Y., Yi, J., Zhang, R., Peng, Y., Dong, J. and Sha, L., 2022. Risk factors for arteriovenous fistula thrombus development: a systematic review and meta-analysis. Kidney and Blood Pressure Research, 47(11), pp.643-653.
8. Venkat Ramanan, S., Prabhu, R.A., Rao, I.R., Chawla, A., Shenoy, S.V., Nagaraju, S.P. and Bhojaraja, M.V., 2022. Outcomes and predictors of failure of arteriovenous fistulae for hemodialysis. International urology and nephrology, pp.1-8.
9. Pfister, M., d'Avalos, L.V., Müller, P.C., de Rougemont, O., Bonani, M., Kobe, A., Puippe, G., Nickel, F. and Rössler, F., 2023. Long‐term patency of arteriovenous fistulas for hemodialysis: A decade's experience in a transplant unit. Hemodialysis International, 27(4), pp.388-399.
10. Pinto, R., Sousa, C., Salgueiro, A. and Fernandes, I., 2022. Arteriovenous fistula cannulation in hemodialysis: A vascular access clinical practice guidelines narrative review. The Journal of Vascular Access, 23(5), pp.825-831.
11. Zhang, H. and Li, W., 2021. Establishment and maintenance of autogenous arteriovenous fistula in hemodialysis patients: A new beacon. Chronic Diseases and Translational Medicine, 7(04), pp.217-219.
12. Stoumpos, S., Rankin, A., Hall Barrientos, P., Mangion, K., McGregor, E., Thomson, P.C., Stevenson, K., Welsh, P., Kasthuri, R., Kingsmore, D.B. and Roditi, G., 2021. Interrogating the haemodynamic effects of haemodialysis arteriovenous fistula on cardiac structure and function. Scientific reports, 11(1), p.18102.
13. Vajdič Trampuž, B., Arnol, M., Gubenšek, J., Ponikvar, R. and Buturović Ponikvar, J., 2021. A national cohort study on hemodialysis arteriovenous fistulas after kidney transplantation-long-term patency, use and complications. BMC nephrology, 22, pp.1-9.
14. Gupta, A., Kumar, V., Peswani, A.R., Suresh, A. and Peswani, A., 2022. Outcomes of arteriovenous fistula creation in patients undergoing hemodialysis: an Indian experience. Cureus, 14(1).
15. Orion, K.C., Kim, T.I., Rizzo II, A.N., Cardella, J.A., Rizzo Sr, A. and Sarac, T.P., 2021. Long-term outcomes of transposed femoral vein arteriovenous fistula for abandoned upper extremity dialysis access. Journal of Vascular Surgery, 74(1), pp.225-229.
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Dr. Muhammad Mohsin Riaz
Assistant Professor of Nephrology, Ali Fatima Hospital, Bhobatian Chowk, Raiwind Road, Lahore, Pakistan.
Dr. Hafiz Faisal Munir Qamar
Registrar Nephrology, Ali Fatima Hospital, Bhobatian Chowk, Raiwind Road, Lahore, Pakistan .
Dr. Mubashir Dilawar
Registrar Nephrology, Fatima Memorial Hospital, Lahore, Pakistan
Dr. Nabiha Rizvi
Assistant Professor of Nephrology, Lahore Medical and Dental College lahore, Pakistan.
Dr. Aqeel Ahmed
Senior Registrar Nephrology, Gujranwala Medical College Teaching Hospital, Gujranwala, Pakistan.
Dr. Muhammad Asif
Senior Registrar Nephrology, DG Khan Medical College Dera Ghazi Khan, Pakistan
Dr. Hafiz Nauman Munir Saqib
Medical Officer, Nephrology, Evercare Hospital, Lahore, Pakistan