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Arteriovenous Fistula Aneurysmorrhaphy Is Associated with Improved Patency and Decreased Vascular Access Abandonment by Ronald Chang; Olamide Alabi; Anuj Mahajan; Jay S. Miller; Karthik R. Bhat; Brandi M. Mize; Mustafa A. Khader; Victoria Teodorescu is a Medicine article available to read on EtoBox.

What is Arteriovenous Fistula Aneurysmorrhaphy Is Associated with Improved Patency and Decreased Vascular Access Abandonment about?

Background: Upper extremity hemodialysis arteriovenous fistulas (AVFs) can become aneurysmal over time due to repeated cannulation and/or outflow steno-occlusive disease. The optimal surgical management of aneurysmal AVFs (aneurysmorrhaphy vs interposition graft) has remained unclear. Methods: We performed a retrospective review in which current procedural terminology codes were used to screen for patients who had undergone surgical treatment of aneurysmal AVFs between 2016 and 2021 at a single hospital system. The patients were included after a review of the operative reports. The cases were divided by surgical procedure (aneurysmorrhaphy vs interposition graft placement). The patients who had undergone primary AVF ligation or other types of repair were excluded. The primary outcomes were primary assisted and secondary patency, and the secondary outcome was dialysis access abandonment. Multivariable Cox proportional hazards regression was used to test the association between the type of AVF aneurysm repair and the primary and secondary outcomes. Results : From 2016 to 2021, 6951 patients had undergone 16,190 dialysis access procedures. Of these procedures, 381 (2.4%) were related

Who reads Arteriovenous Fistula Aneurysmorrhaphy Is Associated with Improved Patency and Decreased Vascular Access Abandonment?

Author

Ronald Chang; Olamide Alabi; Anuj Mahajan; Jay S. Miller; Karthik R. Bhat; Brandi M. Mize; Mustafa A. Khader; Victoria Teodorescu

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)