Evidence map›Paper›PMID 30564015›Full record

ArticleClujul medical (1957)2018

Correlation between preoperative vein and artery diameters and arteriovenous fistula outcome in patients with end-stage renal disease.

Alexandru Oprea, Adrian Molnar, Dan Vlăduţiu, Traian Scridon, Cătălin Trifan, Diana Săcui, Vasile Săsărman, Petru Adrian Mircea

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clujul medical (1957), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05686200 (The Effect of Intelligent Forearm Isometric Exercise on Vascular Function, Hand Grip Strength and Adherence in Patients With First Autologous Arteriovenous Fistula After Surgery), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05686200 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Intelligent Forearm Isometric Exercise on Vascular Function, Hand Grip Strength and Adherence in Patients With First Autologous Arteriovenous Fistula After Surgery

TypeinterventionalSponsorNational Taipei University of Nursing and Health SciencesRan2023 to 2025Enrolled52ConditionsArteriovenous Fistula, Isometric ExerciseArmsForearm isometric exercise intervention program
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Alexandru OpreaDepartment of Cardiovascular Surgery, "Niculae Stăncioiu" Heart Institute, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Adrian MolnarDepartment of Cardiovascular Surgery, "Niculae Stăncioiu" Heart Institute, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Dan VlăduţiuDepartment of Nephrology, Emergency Clinical County Hospital, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Traian ScridonDepartment of Cardiovascular Surgery, "Niculae Stăncioiu" Heart Institute, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Cătălin TrifanDepartment of Cardiovascular Surgery, "Niculae Stăncioiu" Heart Institute, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Diana SăcuiDepartment of Cardiovascular Surgery, "Niculae Stăncioiu" Heart Institute, Cluj-Napoca, Romania.
Vasile SăsărmanDepartment of Cardiovascular Surgery, "Niculae Stăncioiu" Heart Institute, Cluj-Napoca, Romania.
Petru Adrian MirceaMedical Clinic No.1, Department of Gastroenterology, Emergency Clinical County Hospital, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Iuliu Hațieganu University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsArteriovenous fistula (AVF) maturation failure rates remain high in patients with end-stage renal disease (ESRD). Although preoperative morphological and functional assessment of blood vessels by duplex ultrasonography (DUS) has been shown to improve AVF maturation, there is no consensus regarding the optimal vein (VD) and artery (AD) diameters to be universally used for AVF creation. To improve patient selection, set out to investigate if there is a correlation between preoperative VD/AD and clinical covariates, and postoperative AVF outcome.

methodsThis was a prospective cohort study conducted during January-August 2014. ESRD patients referred to "Niculae Stăncioiu" Heart Institute Cluj-Napoca, who had a VD ≥1.9 mm and AD ≥1.5 mm, as measured by DUS, and underwent AVF creation were enrolled. We assessed whether preoperative VD/AD and clinical covariates were associated with AVF maturation rate and primary patency at 2 years after AVF creation.

resultsOf 115 patients referred for AVF creation, 93 were included in the study. Mean (± standard deviation) VD was 3.3 ± 1.1 mm and VDs were distributed in quartile Q1 <2.55 mm, Q2: 2.56-3.10 mm, Q3: 3.11-3.70 mm and Q4: >3.71 mm. Mean AD was 3.3 ± 1.4 mm and ADs were distributed in Q1 <2.55 mm, Q2: 2.56-3.10 mm, Q3: 3.11-3.70 mm, and Q4, >3.71 mm. AVF maturation rate increased proportionally with VD from Q1 (62%) to Q2 (70%), Q3 (82%) to Q4 (96%) (p=0.03). Based on AD, a higher AVF maturation rate was observed in Q3 (86%), Q4 (83%) vs Q1 (71%) and Q2 (67%). Long-term primary patency of AVFs seemed not to be influenced by VD and AD. In older patients and those with peripheral arterial disease, AVF maturation failure tended to be higher.

conclusionsOur findings suggest that a preoperative VD ≥1.9 mm and AD ≥1.5 mm have a successful maturation rate of AVF greater than 60% in ESRD patients. The maturation rate of surgical AVF increases proportionally with the size of VD used for AVF creation.

Indexed as

arteriovenous fistulaartery diameterduplex ultrasonographyend-stage renal diseasevein diameter

Identifiers

PMID30564015
PMCPMC6296713
OpenAlexW2891266478

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.