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The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis

BACKGROUND: Autogenous arteriovenous fistula (AVF) is an efficient hemodialysis access for patients with end-stage kidney disease (ESKD). The specific threshold of vein diameter still not reached a consensus. METHOD: We conducted a comprehensive search in PubMed, Embase, and Web of Science databases...

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Autores principales: Feng, Ruijia, Wang, Siwen, Yu, Jianwen, Zheng, Xunhua, Chen, Wei, Wang, Xin, Chang, Guangqi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552868/
https://www.ncbi.nlm.nih.gov/pubmed/37808887
http://dx.doi.org/10.3389/fcvm.2023.1226136
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author Feng, Ruijia
Wang, Siwen
Yu, Jianwen
Zheng, Xunhua
Chen, Wei
Wang, Xin
Chang, Guangqi
author_facet Feng, Ruijia
Wang, Siwen
Yu, Jianwen
Zheng, Xunhua
Chen, Wei
Wang, Xin
Chang, Guangqi
author_sort Feng, Ruijia
collection PubMed
description BACKGROUND: Autogenous arteriovenous fistula (AVF) is an efficient hemodialysis access for patients with end-stage kidney disease (ESKD). The specific threshold of vein diameter still not reached a consensus. METHOD: We conducted a comprehensive search in PubMed, Embase, and Web of Science databases for articles which comparing the treatment outcomes of AVF with 2 mm as vein diameter threshold. Fixed and random effect model were used for synthesis of results. Subgroup analysis was designed to assess the risk of bias. RESULT: Eight high-quality articles were included finally. Among a total of 1,075 patients (675 males and 400 females), 227 and 809 patients possessed <2 mm and ≥2 mm vein respectively. Apart from gender and coronary artery disease (P < 0.05), there was no significant difference in age, diabetes, hypertension or radial artery between maturation and non-maturation groups. The functional maturation rate was lower in patients with <2 mm vein according to fixed effect model [OR = 0.19, 95% CI (0.12, 0.30), P < 0.01]. There was no significant difference in primary [OR = 0.63, 95% CI (0.12, 3.25), P = 0.58] or cumulative patency rates [OR = 0.40, 95% CI (0.13, 1.19), P = 0.10]. CONCLUSION: Vein diameter less than 2 mm has a negative impact on the functional maturation rate of AVF, while it does not affect the primary and cumulative patency rates (12 months).
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spelling pubmed-105528682023-10-06 The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis Feng, Ruijia Wang, Siwen Yu, Jianwen Zheng, Xunhua Chen, Wei Wang, Xin Chang, Guangqi Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Autogenous arteriovenous fistula (AVF) is an efficient hemodialysis access for patients with end-stage kidney disease (ESKD). The specific threshold of vein diameter still not reached a consensus. METHOD: We conducted a comprehensive search in PubMed, Embase, and Web of Science databases for articles which comparing the treatment outcomes of AVF with 2 mm as vein diameter threshold. Fixed and random effect model were used for synthesis of results. Subgroup analysis was designed to assess the risk of bias. RESULT: Eight high-quality articles were included finally. Among a total of 1,075 patients (675 males and 400 females), 227 and 809 patients possessed <2 mm and ≥2 mm vein respectively. Apart from gender and coronary artery disease (P < 0.05), there was no significant difference in age, diabetes, hypertension or radial artery between maturation and non-maturation groups. The functional maturation rate was lower in patients with <2 mm vein according to fixed effect model [OR = 0.19, 95% CI (0.12, 0.30), P < 0.01]. There was no significant difference in primary [OR = 0.63, 95% CI (0.12, 3.25), P = 0.58] or cumulative patency rates [OR = 0.40, 95% CI (0.13, 1.19), P = 0.10]. CONCLUSION: Vein diameter less than 2 mm has a negative impact on the functional maturation rate of AVF, while it does not affect the primary and cumulative patency rates (12 months). Frontiers Media S.A. 2023-09-18 /pmc/articles/PMC10552868/ /pubmed/37808887 http://dx.doi.org/10.3389/fcvm.2023.1226136 Text en © 2023 Feng, Wang, Yu, Zheng, Chen, Wang and Chang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Feng, Ruijia
Wang, Siwen
Yu, Jianwen
Zheng, Xunhua
Chen, Wei
Wang, Xin
Chang, Guangqi
The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis
title The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis
title_full The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis
title_fullStr The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis
title_full_unstemmed The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis
title_short The feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis
title_sort feasibility and efficiency for constructing arteriovenous fistula with <2 mm vein—a systematic review and meta-analysis
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552868/
https://www.ncbi.nlm.nih.gov/pubmed/37808887
http://dx.doi.org/10.3389/fcvm.2023.1226136
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