An observational cross sectional study analysing primary patency rate of arteriovenous fistula (AVF) for dialysis access and factors affecting its patency /

Objective: The purpose of this study was to compare the maturity and patency rate of AVF being created at our centre in comparison to those being published elsewhere in the world. We are also analyzing different factors identified previously that may have affected this maturity and patency rate. Stu...

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Bibliographic Details
Main Author: Mohd. Norhisham Azmi bin Abdul Rahman (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2016
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
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040 |a UIAM  |b eng  |e rda 
041 |a eng 
043 |a a-my--- 
050 0 0 |a RC776.A6 
100 0 |a Mohd. Norhisham Azmi bin Abdul Rahman,  |e author 
245 1 3 |a An observational cross sectional study analysing primary patency rate of arteriovenous fistula (AVF) for dialysis access and factors affecting its patency /  |c by Mohd. Norhisham Azmi bin Abdul Rahman 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2016 
300 |a xi, 48 leaves :  |b illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
337 |2 rdamedia  |a unmediated 
338 |2 rdacarrier  |a volume 
338 |2 rdacarrier  |a computer disc 
338 |2 rdacarrier  |a online resource 
347 |2 rdaft  |a text file  |b PDF 
500 |a Abstracts in English. 
500 |a "A dissertation submitted in fulfilment of the requirement for the degree of Master of Sugery (General Surgery)." --On title page. 
502 |a Thesis (MOS)--International Islamic University Malaysia, 2016. 
504 |a Includes bibliographical references (leaves 31-38). 
520 |a Objective: The purpose of this study was to compare the maturity and patency rate of AVF being created at our centre in comparison to those being published elsewhere in the world. We are also analyzing different factors identified previously that may have affected this maturity and patency rate. Study design: This is an observational cross sectional study including all patients underwent AVF creation between 1st of January 2013 to 31st December 2013. We analysed non-modifiable factors including age, gender, presence of diabetes, presence of peripheral vascular disease and venous and artery diameter, and modifiable factors including smoking status, BMI index, anti-platelets and statin therapy and the site and side of AVF created, against the maturity and patency rate using a multi-variates analysis. Results: Our maturity rate at 6 weeks is 89% and patency rate at 6 months is 61% and at 12 months is 57%. Although there was a positive trends towards a better maturity rate in those who were treated with statin and with a bigger venous diameter, this was not statistically significant and these trends fail to sustain towards patency rates at both 6 and 12 months. Conclusion: In conclusion, our centre's autologous AVF creation has been equally successful in comparison to other published results worldwide. Our study population failed to show any relationship between some known risk factors that has been shown by earlier study to have an effect on autologous AVF maturity and patency. 
596 |a 1 6 
650 0 |a Fistula, Arteriovenous 
650 0 |a Hemodialysis 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Surgery  |z IIUM 
710 2 |a International Islamic University Malaysia.  |b Department of Surgery 
856 4 |u https://lib.iium.edu.my/mom/services/mom/document/getFile/AEwYGEzxLOHtqccGHzDQC0kq4wzfk6v420180531100945089  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
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