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 p...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	K Karki [verfasserIn] N Banepali [verfasserIn] S Hirachand [verfasserIn] R Mukhiya [verfasserIn] RKN Shrestha [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	CRF arterio-venous fistula diabetes mellitus

Übergeordnetes Werk:	In: Journal of Society of Surgeons of Nepal - Society of Surgeons of Nepal, 2021, 18(2016), 3
Übergeordnetes Werk:	volume:18 ; year:2016 ; number:3

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3126/jssn.v18i3.15333

Katalog-ID:	DOAJ064395928

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520			\|a 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.
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Indexfelder

author_variant	k k kk n b nb s h sh r m rm r s rs
matchkey_str	article:23924772:2016----::oprsnfucsrtoatroeositliptetwtd
hierarchy_sort_str	2016
callnumber-subject-code	RD
publishDate	2016
allfields	10.3126/jssn.v18i3.15333 doi (DE-627)DOAJ064395928 (DE-599)DOAJ50932c2bf1b4499ea40253ac66b5d3e2 DE-627 ger DE-627 rakwb eng RD1-811 K Karki verfasserin aut Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. CRF arterio-venous fistula diabetes mellitus Surgery N Banepali verfasserin aut S Hirachand verfasserin aut R Mukhiya verfasserin aut RKN Shrestha verfasserin aut In Journal of Society of Surgeons of Nepal Society of Surgeons of Nepal, 2021 18(2016), 3 (DE-627)1767700539 23924772 nnns volume:18 year:2016 number:3 https://doi.org/10.3126/jssn.v18i3.15333 kostenfrei https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e2 kostenfrei https://www.nepjol.info/index.php/JSSN/article/view/15333 kostenfrei https://doaj.org/toc/1815-3984 Journal toc kostenfrei https://doaj.org/toc/2392-4772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2016 3
spelling	10.3126/jssn.v18i3.15333 doi (DE-627)DOAJ064395928 (DE-599)DOAJ50932c2bf1b4499ea40253ac66b5d3e2 DE-627 ger DE-627 rakwb eng RD1-811 K Karki verfasserin aut Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. CRF arterio-venous fistula diabetes mellitus Surgery N Banepali verfasserin aut S Hirachand verfasserin aut R Mukhiya verfasserin aut RKN Shrestha verfasserin aut In Journal of Society of Surgeons of Nepal Society of Surgeons of Nepal, 2021 18(2016), 3 (DE-627)1767700539 23924772 nnns volume:18 year:2016 number:3 https://doi.org/10.3126/jssn.v18i3.15333 kostenfrei https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e2 kostenfrei https://www.nepjol.info/index.php/JSSN/article/view/15333 kostenfrei https://doaj.org/toc/1815-3984 Journal toc kostenfrei https://doaj.org/toc/2392-4772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2016 3
allfields_unstemmed	10.3126/jssn.v18i3.15333 doi (DE-627)DOAJ064395928 (DE-599)DOAJ50932c2bf1b4499ea40253ac66b5d3e2 DE-627 ger DE-627 rakwb eng RD1-811 K Karki verfasserin aut Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. CRF arterio-venous fistula diabetes mellitus Surgery N Banepali verfasserin aut S Hirachand verfasserin aut R Mukhiya verfasserin aut RKN Shrestha verfasserin aut In Journal of Society of Surgeons of Nepal Society of Surgeons of Nepal, 2021 18(2016), 3 (DE-627)1767700539 23924772 nnns volume:18 year:2016 number:3 https://doi.org/10.3126/jssn.v18i3.15333 kostenfrei https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e2 kostenfrei https://www.nepjol.info/index.php/JSSN/article/view/15333 kostenfrei https://doaj.org/toc/1815-3984 Journal toc kostenfrei https://doaj.org/toc/2392-4772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2016 3
allfieldsGer	10.3126/jssn.v18i3.15333 doi (DE-627)DOAJ064395928 (DE-599)DOAJ50932c2bf1b4499ea40253ac66b5d3e2 DE-627 ger DE-627 rakwb eng RD1-811 K Karki verfasserin aut Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. CRF arterio-venous fistula diabetes mellitus Surgery N Banepali verfasserin aut S Hirachand verfasserin aut R Mukhiya verfasserin aut RKN Shrestha verfasserin aut In Journal of Society of Surgeons of Nepal Society of Surgeons of Nepal, 2021 18(2016), 3 (DE-627)1767700539 23924772 nnns volume:18 year:2016 number:3 https://doi.org/10.3126/jssn.v18i3.15333 kostenfrei https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e2 kostenfrei https://www.nepjol.info/index.php/JSSN/article/view/15333 kostenfrei https://doaj.org/toc/1815-3984 Journal toc kostenfrei https://doaj.org/toc/2392-4772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2016 3
allfieldsSound	10.3126/jssn.v18i3.15333 doi (DE-627)DOAJ064395928 (DE-599)DOAJ50932c2bf1b4499ea40253ac66b5d3e2 DE-627 ger DE-627 rakwb eng RD1-811 K Karki verfasserin aut Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. CRF arterio-venous fistula diabetes mellitus Surgery N Banepali verfasserin aut S Hirachand verfasserin aut R Mukhiya verfasserin aut RKN Shrestha verfasserin aut In Journal of Society of Surgeons of Nepal Society of Surgeons of Nepal, 2021 18(2016), 3 (DE-627)1767700539 23924772 nnns volume:18 year:2016 number:3 https://doi.org/10.3126/jssn.v18i3.15333 kostenfrei https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e2 kostenfrei https://www.nepjol.info/index.php/JSSN/article/view/15333 kostenfrei https://doaj.org/toc/1815-3984 Journal toc kostenfrei https://doaj.org/toc/2392-4772 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2016 3
language	English
source	In Journal of Society of Surgeons of Nepal 18(2016), 3 volume:18 year:2016 number:3
sourceStr	In Journal of Society of Surgeons of Nepal 18(2016), 3 volume:18 year:2016 number:3
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callnumber-first	R - Medicine
author	K Karki
spellingShingle	K Karki misc RD1-811 misc CRF misc arterio-venous fistula misc diabetes mellitus misc Surgery Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
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topic_title	RD1-811 Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes CRF arterio-venous fistula diabetes mellitus
topic	misc RD1-811 misc CRF misc arterio-venous fistula misc diabetes mellitus misc Surgery
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title	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
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title_full	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
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author_browse	K Karki N Banepali S Hirachand R Mukhiya RKN Shrestha
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title_sort	comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
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title_auth	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
abstract	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.
abstractGer	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.
abstract_unstemmed	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.
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title_short	Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes
url	https://doi.org/10.3126/jssn.v18i3.15333 https://doaj.org/article/50932c2bf1b4499ea40253ac66b5d3e2 https://www.nepjol.info/index.php/JSSN/article/view/15333 https://doaj.org/toc/1815-3984 https://doaj.org/toc/2392-4772
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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]. 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Comparison of success rate of arterio-venous fistula in patients with diabetes vs non-diabetes

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