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

Introduction and objective: 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[1]. Once they are diagnosed as CKD, they are kept either on hemodialysis or peritoneal dialysis or...

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Autores principales:	K Karki, N Banepali, S Hirachand, R Mukhiya, RKN Shrestha
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	CRF arterio-venous fistula diabetes mellitus Surgery RD1-811
Acceso en línea:	https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e2
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spelling	oai:doaj.org-article:50932c2bf1b4499ea40253ac66b5d3e22021-12-05T19:16:28ZComparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes10.3126/jssn.v18i3.153331815-39842392-4772https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e22016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15333https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction and objective: 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[1]. Once they are diagnosed as CKD, they are kept either on hemodialysis or peritoneal dialysis or patient undergo renal transplant.[2,3] With this research we may prove that even in a similar circumstances failure rate of AVF is more in diabetes patient. Materials and 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. K KarkiN BanepaliS HirachandR MukhiyaRKN ShresthaSociety of Surgeons of NepalarticleCRFarterio-venous fistuladiabetes mellitusSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	CRF arterio-venous fistula diabetes mellitus Surgery RD1-811
spellingShingle	CRF arterio-venous fistula diabetes mellitus Surgery RD1-811 K Karki N Banepali S Hirachand R Mukhiya RKN Shrestha Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
description	Introduction and objective: 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[1]. Once they are diagnosed as CKD, they are kept either on hemodialysis or peritoneal dialysis or patient undergo renal transplant.[2,3] With this research we may prove that even in a similar circumstances failure rate of AVF is more in diabetes patient. Materials and 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	K Karki N Banepali S Hirachand R Mukhiya RKN Shrestha
author_facet	K Karki N Banepali S Hirachand R Mukhiya RKN Shrestha
author_sort	K Karki
title	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_short	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_full	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_fullStr	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_full_unstemmed	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
title_sort	comparison 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/50932c2bf1b4499ea40253ac66b5d3e2
work_keys_str_mv	AT kkarki comparisonofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT nbanepali comparisonofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT shirachand comparisonofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT rmukhiya comparisonofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes AT rknshrestha comparisonofsuccessrateofarteriovenousfistulainpatientswithdiabetesvsnondiabetes
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Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes

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