Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes

Introduction: Definition of chronic renal disease is based on the presence of kidney damage or glomerular filtration rate (GFR 60 ml/min per 1.73 m2) for 3 months, irrespective of cause. Once they are diagnosed as CKD, they are kept either on hemodialysis or peritoneal dialysis or patient undergo r...

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Autores principales:	Kushal Karki, Niroj Banepali, Sujita Hirachand, Rupesh Mukhiya, Rhishikesh Narayan Shrestha
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Arterio-venous fistula CRF diabetes mellitus Surgery RD1-811
Acceso en línea:	https://doaj.org/article/106f3a9be4a4480487d78145201c9765
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spelling	oai:doaj.org-article:106f3a9be4a4480487d78145201c97652021-12-05T19:16:51ZComparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes10.3126/jssn.v19i1.245511815-39842392-4772https://doaj.org/article/106f3a9be4a4480487d78145201c97652016-06-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24551https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Definition of chronic renal disease is based on the presence of kidney damage or glomerular filtration rate (GFR 60 ml/min per 1.73 m2) for 3 months, irrespective of cause. Once they are diagnosed as CKD, they are kept either on hemodialysis or peritoneal dialysis or patient undergo renal transplant. With this research we may prove that even in a similar circumstances failure rate of AVF is more in diabetes patient. Methods: Total 50 patients of either gender were taken in this study. Inclusion criteria: CRF with GFR <30ml/min. Arterial diameter >1.5mm and venous diameter >2mm. Preoperative radial artery blood flow >30cm/min. Exclusion criteria: arterial diameter <1.5mm venous diameter <2mm. Written consent was taken from the patient. After preoperative workup surgery was done by 1st author. Arterio-venous fistula was scanned by color Doppler imaging after 4 weeks. Result: There were 31 [62%] male, 19 [38%] female. Mean age of patients was 55.8 years. 18(36%) were dialysis dependent. Cause of renal failure were diabetes 16(32%), unknown 15(30%), glomerulonephritis 8(16%) and obstructive uropathy 3(6%). Mean internal diameter of radial artery was 1.91mm (1.5-2.6) and cephalic vein 2.57mm (1.9-3.2). 7 patients had swelling of arm, 5 patients has surgical site infections and 15 patients had primary failure; 11 were from diabetic group and 4 from non-diabetic group. Mean duration of surgery was 60.95 minutes (50-75). Average preoperative velocity in radial artery was 32.94(30-39) cm/sec. Average flow of blood at the end of 4 weeks was 461.42ml/min (0-654). Between two groups failure rate was significantly high in diabetic patients (p = 0.02). Failure rate was significantly higher in patients with diabetes more than 10 years (p=0.01). Conclusion: Failure rate of arterio-venous fistula is significantly high in diabetic patients. Kushal KarkiNiroj BanepaliSujita HirachandRupesh MukhiyaRhishikesh Narayan ShresthaSociety of Surgeons of NepalarticleArterio-venous fistulaCRFdiabetes mellitusSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 19, Iss 1 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arterio-venous fistula CRF diabetes mellitus Surgery RD1-811
spellingShingle	Arterio-venous fistula CRF diabetes mellitus Surgery RD1-811 Kushal Karki Niroj Banepali Sujita Hirachand Rupesh Mukhiya Rhishikesh Narayan Shrestha Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
description	Introduction: Definition of chronic renal disease is based on the presence of kidney damage or glomerular filtration rate (GFR 60 ml/min per 1.73 m2) for 3 months, irrespective of cause. Once they are diagnosed as CKD, they are kept either on hemodialysis or peritoneal dialysis or patient undergo renal transplant. With this research we may prove that even in a similar circumstances failure rate of AVF is more in diabetes patient. Methods: Total 50 patients of either gender were taken in this study. Inclusion criteria: CRF with GFR <30ml/min. Arterial diameter >1.5mm and venous diameter >2mm. Preoperative radial artery blood flow >30cm/min. Exclusion criteria: arterial diameter <1.5mm venous diameter <2mm. Written consent was taken from the patient. After preoperative workup surgery was done by 1st author. Arterio-venous fistula was scanned by color Doppler imaging after 4 weeks. Result: There were 31 [62%] male, 19 [38%] female. Mean age of patients was 55.8 years. 18(36%) were dialysis dependent. Cause of renal failure were diabetes 16(32%), unknown 15(30%), glomerulonephritis 8(16%) and obstructive uropathy 3(6%). Mean internal diameter of radial artery was 1.91mm (1.5-2.6) and cephalic vein 2.57mm (1.9-3.2). 7 patients had swelling of arm, 5 patients has surgical site infections and 15 patients had primary failure; 11 were from diabetic group and 4 from non-diabetic group. Mean duration of surgery was 60.95 minutes (50-75). Average preoperative velocity in radial artery was 32.94(30-39) cm/sec. Average flow of blood at the end of 4 weeks was 461.42ml/min (0-654). Between two groups failure rate was significantly high in diabetic patients (p = 0.02). Failure rate was significantly higher in patients with diabetes more than 10 years (p=0.01). Conclusion: Failure rate of arterio-venous fistula is significantly high in diabetic patients.
format	article
author	Kushal Karki Niroj Banepali Sujita Hirachand Rupesh Mukhiya Rhishikesh Narayan Shrestha
author_facet	Kushal Karki Niroj Banepali Sujita Hirachand Rupesh Mukhiya Rhishikesh Narayan Shrestha
author_sort	Kushal Karki
title	Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_short	Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_full	Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_fullStr	Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_full_unstemmed	Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_sort	comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/106f3a9be4a4480487d78145201c9765
work_keys_str_mv	AT kushalkarki comparisionofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT nirojbanepali comparisionofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT sujitahirachand comparisionofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT rupeshmukhiya comparisionofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT rhishikeshnarayanshrestha comparisionofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes
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Comparision of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes

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