Association of Preoperative Mean Arterial Pressure With the Primary Failure of Brescia-Cimino Arteriovenous Fistula Within the First 7 Days Following Surgery in Hemodialysis Patients

作者：Yan, Yan; Su, Xiaoxia; Zheng, Jie; Zhang, Li; Yang, Liu; Jiang, Qing; Chen, Qinkai^*

来源：Therapeutic Apheresis and Dialysis, 2018, 22(5): 539-543.

DOI：10.1111/1744-9987.12670

• Arteriovenous fistula
• Brescia-Cimino procedure
• Preoperative mean arterial pressure
• Prognostic indicator

This retrospective study included 1051 patients with end-stage kidney disease and Brescia-Cimino arteriovenous fistula (AVF) (excluding pre-dialysis patients), and aimed to investigate the role of blood pressure in AVF primary failure. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured twice daily for 3days before surgery. The success (N=1010) and failure (N=41) groups were based on AVF primary failure within 7days of surgery. The cephalic vein was larger and the preoperative mean arterial pressure (MAP) was higher in the success group compared with the failure group (P<0.05). Cephalic vein diameter and preoperative MAP independently predicted AVF primary failure within 7days after surgery. In conclusion, small cephalic vein diameter and low preoperative MAP were associated with AVF primary failure within 7days of surgery.

• 出版日期2018-10
• 单位南昌大学