Evidence map›Paper›PMID 31566061›Full record

ArticleThe journal of vascular access2020

Two-year cumulative patency of endovascular arteriovenous fistula.

Gerald A Beathard, Terry Litchfield, William C Jennings

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The journal of vascular access, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Hemodialysis Access: US for Preprocedural Mapping and Evaluation of Maturity and Access Dysfunction.Radiographics : a review publication of the Radiological Society of North America, Inc · 2024
    Article
  7. Article
  8. Percutaneous Creation of Hemodialysis Fistulas.Cardiovascular and interventional radiology · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Perspectives in Individualizing Solutions for Dialysis Access.Advances in chronic kidney disease · 2020
    Review
  16. Review
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

3 authors at 3 institutions in 1 country.

Gerald A BeathardUniversity of Texas Medical Branch, Galveston, TX, USA.ORCID https://orcid.org/0000-0002-0698-9329
Terry LitchfieldAccess Solutions, Des Plaines, IL, USA.
William C JenningsDepartment of Surgery, School of Community Medicine, University of Oklahoma, Tulsa, OK, USA.ORCID https://orcid.org/0000-0003-3599-0609
Access to Wholistic and Productive Living Institute · USThe University of Texas Medical Branch at Galveston · USUniversity of Oklahoma · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe recent advent of a device to create a proximal radial artery arteriovenous fistula using an endovascular approach to create the anastomosis represents a significant advance in dialysis access creation. This endovascular arteriovenous fistula offers the beneficial attributes of the proximal radial artery arteriovenous fistula while adding the advantages of avoiding a surgical procedure. The endovascular arteriovenous fistula can be created safely, functions well, has excellent patency, and has a high degree of patient satisfaction. The purpose of this study is to report the 2-year cumulative patency rate for a large multicenter cohort of endovascular arteriovenous fistula cases.

designAn endovascular arteriovenous fistula was created in 105 patients using either local or regional anesthesia and conscious sedation. Patient data were obtained from each program's electronic health record system. Data collection was truncated at 2 years postprocedure and used to calculate cumulative patency. Post-access creation patient satisfaction was assessed.

resultsA physiologically mature arteriovenous fistula (blood flow ⩾500 mL/min and a target vein internal diameter ⩾4 mm) was obtained in 98%. A clinically functional arteriovenous fistula (supporting two-needle dialysis according to the patient's dialysis prescription) was demonstrated in 95%. Access failure resulting in the loss of access occurred in eight cases during the study period. The cumulative patency rate at 6, 12, 18, and 24 months was 97.1%, 93.9%, 93.9%, and 92.7%, respectively. The post-procedure patient evaluation emphasized a high level of patient satisfaction.

conclusionThe proximal radial artery arteriovenous fistula created using an endovascular approach for the anastomosis is associated with excellent 2-year cumulative patency and is associated with a high level of patient satisfaction.

Indexed as

Blood Vessel ProsthesisVascular PatencyArteriovenous Shunt, SurgicalBlood Vessel Prosthesis ImplantationEndovascular ProceduresFemaleGraft Occlusion, VascularHumansMaleMiddle AgedPatient SatisfactionProsthesis DesignRadial ArteryRenal DialysisRetrospective StudiesRisk Factorsarteriovenous fistulaarteriovenous fistula < dialysis accessEllipsysendovascular arteriovenous fistulahemodialysispercutaneous arteriovenous fistulaproximal radial artery

Identifiers

PMID31566061
PMCPMC7222285
OpenAlexW2975689879

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.