Evidence map›Paper›PMID 34640585›Full record

ArticleJournal of clinical medicine2021

To Close, Observe, or Reconstruct: The Third Way of Managing Dialysis Fistula Aneurysms in Kidney Transplant Recipients.

Krzysztof Bojakowski, Aneta Gziut, Rafał Góra, Bartosz Foroncewicz, Stanisław Kaźmierczak, Dominika Kasprzak, Jolanta Małyszko, Piotr Andziak

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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 3 institutions in 1 country.

Krzysztof Bojakowski2nd Department of Vascular Surgery and Angiology, Centre of Postgraduate Medical Education, 01-813 Warsaw, Poland.ORCID 0000-0001-6899-8741
Aneta GziutDepartment of Invasive Cardiology, Warsaw of Centre of Postgraduate Medical Education, 01-813 Warsaw, Poland.ORCID 0000-0002-7627-8813
Rafał Góra2nd Department of Vascular Surgery and Angiology, Centre of Postgraduate Medical Education, 01-813 Warsaw, Poland.
Bartosz ForoncewiczDepartment of Immunology, Transplantology and Internal Disease, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0002-0757-4547
Stanisław KaźmierczakFaculty of Mathematics and Information Science, Warsaw University of Technology, 00-661 Warsaw, Poland.ORCID 0000-0002-8981-1592
Dominika Kasprzak2nd Department of Vascular Surgery and Angiology, Centre of Postgraduate Medical Education, 01-813 Warsaw, Poland.
Jolanta MałyszkoDepartment of Nephrology, Dialysis and Internal Disease, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0001-8701-8171
Piotr Andziak2nd Department of Vascular Surgery and Angiology, Centre of Postgraduate Medical Education, 01-813 Warsaw, Poland.
Postgraduate School of Molecular Medicine · PLMedical University of Warsaw · PLWarsaw University of Technology · PL

Funding

CMKP Center for Postgraduate Training, Warsaw, Poland 501-1-085-40-20
6 · The paper itself

Abstract

backgroundThe management of patent dialysis fistulas in patients after kidney transplantation (KTx) is controversial-the options that are usually considered are the fistula's closure or observation. Many complications of dialysis fistulas occur in patients after KTx, and immunosuppression increases the risk of fistula aneurysms and hyperkinetic flow. This study aimed to evaluate the results of dialysis fistula aneurysm treatment in patients after KTx and to compare them to procedures performed in an end-stage renal disease (ESRD) dialyzed population.

methodsWe enrolled 83 renal transplant recipients and 123 ESRD patients with dialysis fistula aneurysms qualified for surgical revision to this single-center, prospective study. The results of the surgical treatment of dialysis fistula aneurysms were analyzed, and the primary, assisted primary and secondary patency rate, percentage and type of complications were also assessed.

resultsFor the treatment of dialysis fistula aneurysms in transplant patients, we performed dialysis fistula excisions with fistula closure in 50 patients (60.2%), excision with primary fistula reconstruction (

conclusionsReconstructions of dialysis fistula aneurysms give good long-term results, with a low risk of complications. The reconstruction of dialysis fistulas can be an effective treatment method. Thus, this is an attractive option in addition to fistula ligation or observation in patients after KTx. Reconstructions of dialysis fistula aneurysms enable the preservation of the dialysis fistula while reducing various complications.

Indexed as

complicationdialysis fistulaimmunosuppressionkidney transplantation recipient

Identifiers

PMID34640585
PMCPMC8509468
OpenAlexW3202463747

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Registered trials

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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.