Analysis of Predictive Factors Influencing Early Patency in Adult Autogenous Arterio Venous Accesses
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Arteriovenous(AV) accesses are the lifeline for Chronic kidney disease (CKD) patients and providing a durable access is a challenge for every vascular surgeon. The maturation of autogenous AV accesses at 4-6 weeks is the biggest hurdle more than the creation of AV access. There are many traditional preoperative predictors for Arteriovenous fistula( AVF) maturation including old age female sex, obesity, smoking, presents of atherosclerotic risk factors like Coronary Artery Disease(CAD), Cerebrovascular Disease(CVD), Peripheral Vascular Disease(PAD), Diabetes Mellitus. In this study in addition to the evaluation of the above risk factors routine duplex was done to see additional parameters like artery diameter reactive hyperemia, and venous diameter, venous distensibility and to rule out central venous stenosis. Preoperative mean arterial pressure and blood pressure between the two upper limbs were also taken into consideration after thorough physical examination. A new concept of spiral laminar flow detected by post op duplex was also included in this study. With all the parameters and routine postoperative antiplatelets with clopidogrel 75mg once daily in all patients the influence of such factors on early patency of adult autogenous AV accesses were assessed at 2 weeks post procedure.
Authors and Affiliations
S. K. Balaji, S. Prathap Kumar, S. Jeyakumar, N. Sritharan, P. Ilayakumar
Keywords
Related Articles
- EP ID EP595984
- DOI 10.9790/0853-1605024448.
- Views 52
- Downloads 0
Prevalence of Tobacco Usage among the Rural Population of Bhimili, Visakhaptnam District
Tobacco use is a serious public health challenge in several regions of the world. According to the estimates made by the World Health Organization (WHO), currently about 5 million people die prematurely every year in the...
Clinical Analysis on Near Miss Events in a Tertiary Care Hospital
.
Study of Menstrual Patterns in Degree College Students of Visakhapatnam
Introduction: Onset of menstruation is considered as a landmark in the growth and development of an adolescent girl.The age of onset and pattern of menstrual cycle depend on a number of factors. Present study was underta...
Traumatic Gallbladder Perforation: A Differential Diagnosis of Blunt Trauma of Abdomen
Isolated gall bladder injury after blunt trauma abdomen is a rare entity. Its anatomical location allows it to be protected by the liver, intestines, the omentum, and ribs therefore isolated injury of gall bladder is a r...
Prevalence and Predictor of Cardio Renal Syndrome in Dilated Cardiomyopathy
Around 50 % of deaths in patients with renal failure is heart failure caused by Cardiovascular Disease. Epidemiology of the diseases affecting the heart and kidney is necessary for understanding various types of cardio r...