Evidence map›Paper›PMID 32852664›Full record

Observational studyClinical and experimental nephrology2021

Factors affecting patency of arteriovenous fistula following first percutaneous transluminal angioplasty.

Yit-Sheung Yap, Wen-Che Chi, Cheng-Hao Lin, Yi-Chun Liu, Yi-Wen Wu, Hui-Yueh Yang

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical and experimental nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
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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

6 authors at 1 institution in 1 country.

Yit-Sheung YapDivision of Nephrology, Department of Internal Medicine, Yuan's General Hospital, No. 162, Chenggong 1st Road, LingYa District, Kaohsiung City, 802, Taiwan, ROC. ysyap0803@gmail.com.
Wen-Che ChiDivision of Nephrology, Department of Internal Medicine, Yuan's General Hospital, No. 162, Chenggong 1st Road, LingYa District, Kaohsiung City, 802, Taiwan, ROC.
Cheng-Hao LinDivision of Nephrology, Department of Internal Medicine, Yuan's General Hospital, No. 162, Chenggong 1st Road, LingYa District, Kaohsiung City, 802, Taiwan, ROC.
Yi-Chun LiuDivision of Nephrology, Department of Internal Medicine, Yuan's General Hospital, No. 162, Chenggong 1st Road, LingYa District, Kaohsiung City, 802, Taiwan, ROC.
Yi-Wen WuChronic Kidney Disease Education Center, Yuan's General Hospital, Kaohsiung, 802, Taiwan.
Hui-Yueh YangHemodialysis Center, Yuan's General Hospital, Kaohsiung, 802, Taiwan.
Yuan's General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous transluminal angioplasty (PTA) has generally replaced surgical procedures to treat arteriovenous fistula (AVF) dysfunction, but the predictors of post-intervention patency are highly variable. This study aimed to determine predictors of primary patency following PTA of dysfunctional AVF. MATERIALS AND

methodsRetrospective analysis of first-time PTA of 307 AVF in 307 patients (171 males, mean age 64.3 ± 12.4 years). Demographic, clinical, anatomical and medication variables were reviewed and subjected to univariate and multivariate Cox regression analysis.

resultsThe post-intervention primary patency rates at 6, 12, 24, and 36 months were 76.3%, 58.3%, 43.2%, and 38.2%, respectively. The higher aortic arch calcification (AAC) grade patients were older, had higher incidence of comorbidities and cardiomegaly, and younger AVF age, but their dialysis vintage term was shorter and diastolic blood pressure was lower, and the maximum diameter of balloon angioplasty was mostly ≤ 6 mm, and had lower phosphorus level and less calcium-containing phosphate binder use. In multivariate Cox proportional hazard analysis, the presence of higher AAC grade [hazard ratio (95% confidence interval): (1.46 (1.02-2.09); p = 0.037)] and stenosis at upper arm [1.76 (1.16-2.67); p = 0.008] were associated with shorter post-intervention primary patency.

conclusionIn conclusion, higher AAC grade and anatomic factor related to the location of AVF (upper arm) were the important predictors of AVF dysfunction after PTA. These results could assist in tailoring surveillance programs and performing appropriate interventions for risky AVF.

Indexed as

AngioplastyRenal DialysisVascular PatencyAgedAorta, ThoracicArmArteriovenous Shunt, SurgicalBlood VesselsConstriction, PathologicFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSeverity of Illness IndexAortic arch calcificationArteriovenous fistulaHemodialysis patientsPercutaneous transluminal angioplasty

Identifiers

PMID32852664
OpenAlexW3080300795

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.