ArticleKidney diseases (Basel, Switzerland)
Predictors of Balloon-Assisted Arteriovenous Fistula Maturation: Importance of Intervention Timing and Blood Flow.
Article in Kidney diseases (Basel, Switzerland). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Balloon-assisted maturation (BAM) improves the success rate of arteriovenous fistula (AVF) creation. However, the optimal timing of BAM and the factors influencing its success remain unclear. This study aimed to evaluate the clinical success rate of BAM and identify related influencing factors. Methods: A total of 991 patients undergoing BAM due to AVF immaturity were included (2017-2023) in this study. Data on patient demographics, AVF characteristics, procedural details, brachial artery ultrasound parameters, and preoperative serological indicators were collected. Logistic regression analyses identified factors associated with functional maturation. Results: The overall assisted maturation rate was 94.15%. An AVF creation-to-BAM interval of <90 days (odds ratio [OR] = 0.413, Conclusion: BAM is an effective intervention for immature AVFs. A longer interval from AVF creation to BAM and higher postoperative brachial flow are associated with increased AVF maturation rates, especially in younger patients.
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