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Review
. 2017 Dec;36(4):318-328.
doi: 10.23876/j.krcp.2017.36.4.318. Epub 2017 Dec 31.

Maturation of arteriovenous fistula: Analysis of key factors

Muhammad A Siddiqui  1 , Suhel Ashraff  2 , Thomas Carline  3
Affiliations
Review

Maturation of arteriovenous fistula: Analysis of key factors

Muhammad A Siddiqui et al. Kidney Res Clin Pract. 2017 Dec.

Abstract

The growing proportion of individuals suffering from chronic kidney disease has considerable repercussions for both kidney specialists and primary care. Progressive and permanent renal failure is most frequently treated with hemodialysis. The efficiency of hemodialysis treatment relies on the functional status of vascular access. Determining the type of vascular access has prime significance for maximizing successful maturation of a fistula and avoiding surgical revision. Despite the frequency of arteriovenous fistula procedures, there are no consistent criteria applied before creation of arteriovenous fistulae. Increased prevalence and use of arteriovenous fistulae would result if there were reliable criteria to assess which arteriovenous fistulae are more likely to reach maturity without additional procedures. Published studies assessing the predictive markers of fistula maturation vary to a great extent with regard to definitions, design, study size, patient sample, and clinical factors. As a result, surgeons and specialists must decide which possible risk factors are most likely to occur, as well as which parameters to employ when evaluating the success rate of fistula development in patients awaiting the creation of permanent access. The purpose of this literature review is to discuss the role of patient factors and blood markers in the development of arteriovenous fistulae.

Keywords: Arteriovenous fistula; Arteriovenous fistula maturation; Blood markers; Vascular access.

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Conflict of interest statement

Conflicts of interest All authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Factors affecting the maturation of arteriovenous fistula (AVF).
See this image and copyright information in PMC

References

    1. Konner K, Nonnast-Daniel B, Ritz E. The arteriovenous fistula. J Am Soc Nephrol. 2003;14:1669–1680. doi: 10.1097/01.ASN.0000069219.88168.39. - DOI - PubMed
    1. Vascular Access 2006 Work Group. Clinical practice guidelines for vascular access. Am J Kidney Dis. 2006;48(Suppl 1):S176–S247. doi: 10.1053/j.ajkd.2006.04.029. - DOI - PubMed
    1. Irish A, Dogra G, Mori T, et al. Preventing AVF thrombosis: the rationale and design of the Omega-3 fatty acids (Fish Oils) and Aspirin in Vascular access OUtcomes in REnal Disease (FAVOURED) study. BMC Nephrol. 2009;10:1. doi: 10.1186/1471-2369-10-1. - DOI - PMC - PubMed
    1. Dunn JC, Rowe VL, Woo K. PC106. Regional practice patterns for hemodialysis access in the vascular quality initiative. J Vasc Surg. 2015;61(6 Suppl):145S–146S. doi: 10.1016/j.jvs.2015.04.279. - DOI
    1. Asano M, Thumma J, Oguchi K, et al. Vascular access care and treatment practices associated with outcomes of arteriovenous fistula: international comparisons from the Dialysis Outcomes and Practice Patterns Study. Nephron Clin Pract. 2013;124:23–30. doi: 10.1159/000353733. - DOI - PubMed

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