Cargando…
The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation
BACKGROUND: Arteriovenous fistulas (AVF) are a source of various complications. Among previously hemodialyzed kidney transplant recipients (KTxR), the AVF may persist over time. The patients’ decisions whether to ligate the functioning AVF may be prompted by many factors. Our knowledge of benefits c...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332306/ https://www.ncbi.nlm.nih.gov/pubmed/32615582 http://dx.doi.org/10.1371/journal.pone.0234931 |
_version_ | 1783553503659032576 |
---|---|
author | Bardowska, Klaudia Letachowicz, Krzysztof Kamińska, Dorota Kusztal, Mariusz Gołębiowski, Tomasz Królicki, Tomasz Zajdel, Karolina Mazanowska, Oktawia Janczak, Dariusz Krajewska, Magdalena |
author_facet | Bardowska, Klaudia Letachowicz, Krzysztof Kamińska, Dorota Kusztal, Mariusz Gołębiowski, Tomasz Królicki, Tomasz Zajdel, Karolina Mazanowska, Oktawia Janczak, Dariusz Krajewska, Magdalena |
author_sort | Bardowska, Klaudia |
collection | PubMed |
description | BACKGROUND: Arteriovenous fistulas (AVF) are a source of various complications. Among previously hemodialyzed kidney transplant recipients (KTxR), the AVF may persist over time. The patients’ decisions whether to ligate the functioning AVF may be prompted by many factors. Our knowledge of benefits concerning the procedure as well as patients' attitude towards it is scarce. AIM: Evaluation of the patients’ opinion on the persistent AVF ligation after a successful kidney transplantation. MATERIALS AND METHODS: An anonymous survey was carried out among 301 previously hemodialyzed KTxR. The patients were recruited during scheduled visits in the Transplantation Outpatient Unit. All subjects completed an anonymous questionnaire including questions about their attitude towards the matter in question. RESULTS: 69 patients (22.9%) have considered AVF closure. The most common causes for such attitude were esthetic reasons (n = 29) and concerns about heart health (n = 13). Among those 69 subjects, 18 have presented with symptomatic AVF due to multiple symptoms. Symptomatic AVFs were localized on the forearm in 14 out of 18 cases. As many as 116 (38.5%) cases have never wanted to ligate the AVF and 116 (38.5%) subjects did not have a clear opinion. In our study we report 158 (52.5%) cases of non-functioning AVFs. The main reason for the above was spontaneous AVF thrombosis (121 cases). Only 24 subjects reported to rely on the physician-provided information about the AVF management. CONCLUSIONS: One fourth of KTRs have ever considered AVF ligation. There is a distinct need for educating patients on the possibilities of post-transplantation AVF management. |
format | Online Article Text |
id | pubmed-7332306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-73323062020-07-15 The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation Bardowska, Klaudia Letachowicz, Krzysztof Kamińska, Dorota Kusztal, Mariusz Gołębiowski, Tomasz Królicki, Tomasz Zajdel, Karolina Mazanowska, Oktawia Janczak, Dariusz Krajewska, Magdalena PLoS One Research Article BACKGROUND: Arteriovenous fistulas (AVF) are a source of various complications. Among previously hemodialyzed kidney transplant recipients (KTxR), the AVF may persist over time. The patients’ decisions whether to ligate the functioning AVF may be prompted by many factors. Our knowledge of benefits concerning the procedure as well as patients' attitude towards it is scarce. AIM: Evaluation of the patients’ opinion on the persistent AVF ligation after a successful kidney transplantation. MATERIALS AND METHODS: An anonymous survey was carried out among 301 previously hemodialyzed KTxR. The patients were recruited during scheduled visits in the Transplantation Outpatient Unit. All subjects completed an anonymous questionnaire including questions about their attitude towards the matter in question. RESULTS: 69 patients (22.9%) have considered AVF closure. The most common causes for such attitude were esthetic reasons (n = 29) and concerns about heart health (n = 13). Among those 69 subjects, 18 have presented with symptomatic AVF due to multiple symptoms. Symptomatic AVFs were localized on the forearm in 14 out of 18 cases. As many as 116 (38.5%) cases have never wanted to ligate the AVF and 116 (38.5%) subjects did not have a clear opinion. In our study we report 158 (52.5%) cases of non-functioning AVFs. The main reason for the above was spontaneous AVF thrombosis (121 cases). Only 24 subjects reported to rely on the physician-provided information about the AVF management. CONCLUSIONS: One fourth of KTRs have ever considered AVF ligation. There is a distinct need for educating patients on the possibilities of post-transplantation AVF management. Public Library of Science 2020-07-02 /pmc/articles/PMC7332306/ /pubmed/32615582 http://dx.doi.org/10.1371/journal.pone.0234931 Text en © 2020 Bardowska et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Bardowska, Klaudia Letachowicz, Krzysztof Kamińska, Dorota Kusztal, Mariusz Gołębiowski, Tomasz Królicki, Tomasz Zajdel, Karolina Mazanowska, Oktawia Janczak, Dariusz Krajewska, Magdalena The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation |
title | The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation |
title_full | The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation |
title_fullStr | The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation |
title_full_unstemmed | The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation |
title_short | The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation |
title_sort | attitude of kidney transplant recipients towards elective arteriovenous fistula ligation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332306/ https://www.ncbi.nlm.nih.gov/pubmed/32615582 http://dx.doi.org/10.1371/journal.pone.0234931 |
work_keys_str_mv | AT bardowskaklaudia theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT letachowiczkrzysztof theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT kaminskadorota theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT kusztalmariusz theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT gołebiowskitomasz theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT krolickitomasz theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT zajdelkarolina theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT mazanowskaoktawia theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT janczakdariusz theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT krajewskamagdalena theattitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT bardowskaklaudia attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT letachowiczkrzysztof attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT kaminskadorota attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT kusztalmariusz attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT gołebiowskitomasz attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT krolickitomasz attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT zajdelkarolina attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT mazanowskaoktawia attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT janczakdariusz attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation AT krajewskamagdalena attitudeofkidneytransplantrecipientstowardselectivearteriovenousfistulaligation |