Disparities in Fistula Maturation Persist Despite Preoperative Vascular Mapping
Author(s) -
William Peterson,
Jill Barker,
Michael Allon
Publication year - 2008
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.03480807
Subject(s) - medicine , forearm , fistula , univariate analysis , arteriovenous fistula , surgery , logistic regression , dialysis , hemodialysis , cardiology , multivariate analysis
Failure to mature (primary failure) of new fistulas remains a major obstacle to increasing the proportion of dialysis patients with fistulas. This failure rate is higher in women than in men, higher in older than in younger patients, and higher in forearm than in upper arm fistulas. These disparities in the frequency of failure to mature may be due in part to marginal vessels in the high-risk groups and should be reduced by routine preoperative vascular mapping.
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