Determinants of failure of brachiocephalic elbow fistulas for haemodialysis

CJ Zeebregts; IFJ Tielliu; RG Hulsebos; C de Bruin; ELG Verhoeven; RM Huisman; JJAM van den Dungen

doi:10.1016/j.ejvs.2005.04.009

Determinants of failure of brachiocephalic elbow fistulas for haemodialysis

CJ Zeebregts^*, IFJ Tielliu, RG Hulsebos, C de Bruin, ELG Verhoeven, RM Huisman, JJAM van den Dungen

^*Corresponding author for this work

Man, Biomaterials and Microbes (MBM)

Research output: Contribution to journal › Article › Academic › peer-review

24 Citations (Scopus)

Abstract

Objectives. The aim of this study was to analyse the results of brachiocephalic fistulas for haemodialysis and to determine possible predictors of failure.

Patients and methods. Between April 1999 and September 2004, a consecutive series of 100 autologous brachiocephalic fistulas were created in 96 patients. There were 57 men and 39 women with a mean (SD) age of 59.2 (15.6) years. Data were prospectively gathered.

Results. The mean (SD) follow-up was 20.1 (16.4) months. The primary, primary assisted, and secondary patency rates after 6 months were 73.4, 83.2 and 86.4%, respectively. After 1 year these figures were 54.7, 72.3 and 79.2%, and after 2 years 40.4, 59.2 and 67.5%, respectively. Predictors of failure with regard to primary patency, determined with Cox regression multivariate analysis, included diabetes mellitus (HR 2.81, p <0.001) and a history of contralateral PTFE loop graft (HR 7.79, p = 0. 007).

Conclusion. Primary patency of brachiocephalic fistulas is comparable to that of radiocephalic fistulas. Primary assisted and secondary patency rates can, however, be brought to a much higher level, especially in patients without diabetes and a large-diameter venous outflow tract.

Original language	English
Pages (from-to)	209-214
Number of pages	6
Journal	European Journal of Vascular and Endovascular Surgery
Volume	30
Issue number	2
DOIs	https://doi.org/10.1016/j.ejvs.2005.04.009
Publication status	Published - Aug-2005

Keywords

brachiocephalic fistula
gracz
haemodialysis
patency
predictor
diabetes
ARTERIOVENOUS-FISTULA
VASCULAR ACCESS
RECOMMENDED STANDARDS
SURVIVAL

Access to Document

10.1016/j.ejvs.2005.04.009

Handle.net

Persistent link

Cite this

@article{858507e8a6b7484a94ca5d69b36f6273,

title = "Determinants of failure of brachiocephalic elbow fistulas for haemodialysis",

abstract = "Objectives. The aim of this study was to analyse the results of brachiocephalic fistulas for haemodialysis and to determine possible predictors of failure.Patients and methods. Between April 1999 and September 2004, a consecutive series of 100 autologous brachiocephalic fistulas were created in 96 patients. There were 57 men and 39 women with a mean (SD) age of 59.2 (15.6) years. Data were prospectively gathered.Results. The mean (SD) follow-up was 20.1 (16.4) months. The primary, primary assisted, and secondary patency rates after 6 months were 73.4, 83.2 and 86.4%, respectively. After 1 year these figures were 54.7, 72.3 and 79.2%, and after 2 years 40.4, 59.2 and 67.5%, respectively. Predictors of failure with regard to primary patency, determined with Cox regression multivariate analysis, included diabetes mellitus (HR 2.81, p <0.001) and a history of contralateral PTFE loop graft (HR 7.79, p = 0. 007).Conclusion. Primary patency of brachiocephalic fistulas is comparable to that of radiocephalic fistulas. Primary assisted and secondary patency rates can, however, be brought to a much higher level, especially in patients without diabetes and a large-diameter venous outflow tract.",

keywords = "brachiocephalic fistula, gracz, haemodialysis, patency, predictor, diabetes, ARTERIOVENOUS-FISTULA, VASCULAR ACCESS, RECOMMENDED STANDARDS, SURVIVAL",

author = "CJ Zeebregts and IFJ Tielliu and RG Hulsebos and {de Bruin}, C and ELG Verhoeven and RM Huisman and {van den Dungen}, JJAM",

year = "2005",

month = aug,

doi = "10.1016/j.ejvs.2005.04.009",

language = "English",

volume = "30",

pages = "209--214",

journal = "European Journal of Vascular and Endovascular Surgery",

issn = "1078-5884",

publisher = "W B SAUNDERS CO LTD",

number = "2",

}

TY - JOUR

T1 - Determinants of failure of brachiocephalic elbow fistulas for haemodialysis

AU - Zeebregts, CJ

AU - Tielliu, IFJ

AU - Hulsebos, RG

AU - de Bruin, C

AU - Verhoeven, ELG

AU - Huisman, RM

AU - van den Dungen, JJAM

PY - 2005/8

Y1 - 2005/8

N2 - Objectives. The aim of this study was to analyse the results of brachiocephalic fistulas for haemodialysis and to determine possible predictors of failure.Patients and methods. Between April 1999 and September 2004, a consecutive series of 100 autologous brachiocephalic fistulas were created in 96 patients. There were 57 men and 39 women with a mean (SD) age of 59.2 (15.6) years. Data were prospectively gathered.Results. The mean (SD) follow-up was 20.1 (16.4) months. The primary, primary assisted, and secondary patency rates after 6 months were 73.4, 83.2 and 86.4%, respectively. After 1 year these figures were 54.7, 72.3 and 79.2%, and after 2 years 40.4, 59.2 and 67.5%, respectively. Predictors of failure with regard to primary patency, determined with Cox regression multivariate analysis, included diabetes mellitus (HR 2.81, p <0.001) and a history of contralateral PTFE loop graft (HR 7.79, p = 0. 007).Conclusion. Primary patency of brachiocephalic fistulas is comparable to that of radiocephalic fistulas. Primary assisted and secondary patency rates can, however, be brought to a much higher level, especially in patients without diabetes and a large-diameter venous outflow tract.

AB - Objectives. The aim of this study was to analyse the results of brachiocephalic fistulas for haemodialysis and to determine possible predictors of failure.Patients and methods. Between April 1999 and September 2004, a consecutive series of 100 autologous brachiocephalic fistulas were created in 96 patients. There were 57 men and 39 women with a mean (SD) age of 59.2 (15.6) years. Data were prospectively gathered.Results. The mean (SD) follow-up was 20.1 (16.4) months. The primary, primary assisted, and secondary patency rates after 6 months were 73.4, 83.2 and 86.4%, respectively. After 1 year these figures were 54.7, 72.3 and 79.2%, and after 2 years 40.4, 59.2 and 67.5%, respectively. Predictors of failure with regard to primary patency, determined with Cox regression multivariate analysis, included diabetes mellitus (HR 2.81, p <0.001) and a history of contralateral PTFE loop graft (HR 7.79, p = 0. 007).Conclusion. Primary patency of brachiocephalic fistulas is comparable to that of radiocephalic fistulas. Primary assisted and secondary patency rates can, however, be brought to a much higher level, especially in patients without diabetes and a large-diameter venous outflow tract.

KW - brachiocephalic fistula

KW - gracz

KW - haemodialysis

KW - patency

KW - predictor

KW - diabetes

KW - ARTERIOVENOUS-FISTULA

KW - VASCULAR ACCESS

KW - RECOMMENDED STANDARDS

KW - SURVIVAL

U2 - 10.1016/j.ejvs.2005.04.009

DO - 10.1016/j.ejvs.2005.04.009

M3 - Article

SN - 1078-5884

VL - 30

SP - 209

EP - 214

JO - European Journal of Vascular and Endovascular Surgery

JF - European Journal of Vascular and Endovascular Surgery

IS - 2

ER -

Determinants of failure of brachiocephalic elbow fistulas for haemodialysis

Abstract

Keywords

Access to Document

Handle.net

Fingerprint

Cite this