Association of Preoperative Mean Arterial Pressure With the Primary Failure of Brescia-Cimino Arteriovenous Fistula Within the First 7 Days Following Surgery in Hemodialysis Patients.

Abstract

This retrospective study included 1051 patients with end-stage kidney disease and Brescia-Cimino arteriovenous fistula (AVF) (excluding pre-dialysis patients), and aimed to investigate the role of blood pressure in AVF primary failure. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured twice daily for 3 days before surgery. The success (N = 1010) and failure (N = 41) groups were based on AVF primary failure within 7 days of surgery. The cephalic vein was larger and the preoperative mean arterial pressure (MAP) was higher in the success group compared with the failure group (P < 0.05). Cephalic vein diameter and preoperative MAP independently predicted AVF primary failure within 7 days after surgery. In conclusion, small cephalic vein diameter and low preoperative MAP were associated with AVF primary failure within 7 days of surgery.

• Authors: Yan Yan, Xiaoxia Su, Jie Zheng, Li Zhang, Liu Yang, Qing Jiang, Qinkai Chen
• Journal: Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy (Ther Apher Dial) Vol. 22 Issue 5 Pg. 539-543 (Oct 2018) ISSN: 1744-9987 [Electronic] Australia
• PMID: 29923672 (Publication Type: Journal Article)
• Copyright: © 2018 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy.

Topics

• Adult
• Aged
• Arterial Pressure (physiology)
• Arteriovenous Shunt, Surgical (methods)
• Blood Pressure (physiology)
• Female
• Humans
• Kidney Failure, Chronic (therapy)
• Male
• Middle Aged
• Preoperative Period
• Renal Dialysis (methods)
• Retrospective Studies
• Risk Factors
• Time Factors
• Treatment Failure
• Vascular Patency