Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia

Introduction Arteriovenous stula (AVF) has been proven to be the best vascular access for the purpose of haemodialyis due to its’ longevity and robustness. Unfortunately, despite of its’ popularity in Malaysia, there is a limited local data being published. HTAA is a main referral center for AVF c...

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Main Authors:	Abdul Rahman, Mohd Norhisham Azmi, R S, Raja Othman, M S, Nurul Najwa, M F A, Kamarizan, Othman, Ahmad Faidzal
Format:	Article
Language:	English
Published:	The Editorial Committee of Annals of Vascular Diseases 2016
Subjects:	RD Surgery
Online Access:	http://irep.iium.edu.my/64413/ http://irep.iium.edu.my/64413/ http://irep.iium.edu.my/64413/ http://irep.iium.edu.my/64413/8/64413%20%20Retrospective%20analysis%20of%20primary%20patency%20of%20vascular%20acess%20maturity.pdf

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recordtype	eprints
spelling	iium-644132018-08-02T01:41:02Z http://irep.iium.edu.my/64413/ Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia Abdul Rahman, Mohd Norhisham Azmi R S, Raja Othman M S, Nurul Najwa M F A, Kamarizan Othman, Ahmad Faidzal RD Surgery Introduction Arteriovenous stula (AVF) has been proven to be the best vascular access for the purpose of haemodialyis due to its’ longevity and robustness. Unfortunately, despite of its’ popularity in Malaysia, there is a limited local data being published. HTAA is a main referral center for AVF creation for the east coast of Malaysia. We examined our data for primary patency rate and possible factors that may associates with it. Methods Patients who underwent AVF creation created by a single surgeon from July 2012 to July 2013 in Hospital Tengku Ampuan Afzan (HTAA), Kuantan were identi ed using theatre list and also logbook. Data were collected retrospectively from the patients’ medical notes. A total of 89 patients were identi ed. Primary patency rate is being assessed at 6 weeks. Statistical analysis performed using SPSS® v20. Results The patient’s median age of the patients was 53 years with a slight male predominance (53%). Majority of the subjects have no history of tobacco use (71.4%). The Malays make up the majority in ethnicity (79.6%). 53.1% and 18.4% have underlying diabetes mellitus and obesity respectively. Brachio-cephalic stulas (BCF) are the majority of AVF (71.4%) that were created. 78% of our patients had already been diagnosed with ESRF and 59% was already on dialysis upon AVF creation. 57.1% of the subjects are statins users. The mean diameters of artery and veins are 2.56mm and 2.94mm respectively. Our primary patency rate is 87.8%. Multivariate analysis shows no signi cance between the demographics and maturity but a suggestive association of venous diameter and statins with primary patency rate with p values of 0.06 and 0.07 respectively. Conclusion This study described a comparable success rate of AVF creation at our centre in to other published data. We have identi ed, venous diameter and statins use have a positive trend with primary patency rate of our AVF in a multivariate analysis. The Editorial Committee of Annals of Vascular Diseases 2016 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64413/8/64413%20%20Retrospective%20analysis%20of%20primary%20patency%20of%20vascular%20acess%20maturity.pdf Abdul Rahman, Mohd Norhisham Azmi and R S, Raja Othman and M S, Nurul Najwa and M F A, Kamarizan and Othman, Ahmad Faidzal (2016) Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia. Annals of Vascular Diseases, 9 (Supplement Issue). pp. 41-42. ISSN 1881-641X E-ISSN 1881-6428 https://www.jstage.jst.go.jp/article/avd/9/Supplement/9_sup.16-00001/_pdf/-char/en 10.3400/avd.sup.16-00001
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD Surgery
spellingShingle	RD Surgery Abdul Rahman, Mohd Norhisham Azmi R S, Raja Othman M S, Nurul Najwa M F A, Kamarizan Othman, Ahmad Faidzal Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia
description	Introduction Arteriovenous stula (AVF) has been proven to be the best vascular access for the purpose of haemodialyis due to its’ longevity and robustness. Unfortunately, despite of its’ popularity in Malaysia, there is a limited local data being published. HTAA is a main referral center for AVF creation for the east coast of Malaysia. We examined our data for primary patency rate and possible factors that may associates with it. Methods Patients who underwent AVF creation created by a single surgeon from July 2012 to July 2013 in Hospital Tengku Ampuan Afzan (HTAA), Kuantan were identi ed using theatre list and also logbook. Data were collected retrospectively from the patients’ medical notes. A total of 89 patients were identi ed. Primary patency rate is being assessed at 6 weeks. Statistical analysis performed using SPSS® v20. Results The patient’s median age of the patients was 53 years with a slight male predominance (53%). Majority of the subjects have no history of tobacco use (71.4%). The Malays make up the majority in ethnicity (79.6%). 53.1% and 18.4% have underlying diabetes mellitus and obesity respectively. Brachio-cephalic stulas (BCF) are the majority of AVF (71.4%) that were created. 78% of our patients had already been diagnosed with ESRF and 59% was already on dialysis upon AVF creation. 57.1% of the subjects are statins users. The mean diameters of artery and veins are 2.56mm and 2.94mm respectively. Our primary patency rate is 87.8%. Multivariate analysis shows no signi cance between the demographics and maturity but a suggestive association of venous diameter and statins with primary patency rate with p values of 0.06 and 0.07 respectively. Conclusion This study described a comparable success rate of AVF creation at our centre in to other published data. We have identi ed, venous diameter and statins use have a positive trend with primary patency rate of our AVF in a multivariate analysis.
format	Article
author	Abdul Rahman, Mohd Norhisham Azmi R S, Raja Othman M S, Nurul Najwa M F A, Kamarizan Othman, Ahmad Faidzal
author_facet	Abdul Rahman, Mohd Norhisham Azmi R S, Raja Othman M S, Nurul Najwa M F A, Kamarizan Othman, Ahmad Faidzal
author_sort	Abdul Rahman, Mohd Norhisham Azmi
title	Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia
title_short	Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia
title_full	Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia
title_fullStr	Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia
title_full_unstemmed	Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia
title_sort	retrospective analysis of primary patency of vascular acess maturity: a single centre experience at htaa, kuantan, malaysia
publisher	The Editorial Committee of Annals of Vascular Diseases
publishDate	2016
url	http://irep.iium.edu.my/64413/ http://irep.iium.edu.my/64413/ http://irep.iium.edu.my/64413/ http://irep.iium.edu.my/64413/8/64413%20%20Retrospective%20analysis%20of%20primary%20patency%20of%20vascular%20acess%20maturity.pdf
first_indexed	2023-09-18T21:31:26Z
last_indexed	2023-09-18T21:31:26Z
_version_	1777412537568985088

Retrospective analysis of primary patency of vascular acess maturity: A single centre experience at HTAA, Kuantan, Malaysia

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