Fístulas arteriovenosas nativas humerobasílicas con superficialización y trasposición en un solo acto quirúrgico. Revisión de cinco aŞos de experiencia.
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| Title: | Fístulas arteriovenosas nativas humerobasílicas con superficialización y trasposición en un solo acto quirúrgico. Revisión de cinco aŞos de experiencia. |
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| Alternate Title: | Brachiobasilic arteriovenous fistula with superficialisation and transposition the basilic vein in a one stage surgical technique. Five years of single experience. |
| Authors: | Fontseré, Néstor1 fontsere@clinic.ub.es, Mestres, Gaspar2, Yugueros, Xavier2, Jiménez, Mario1, Burrel, Marta3, Gómez, Fernando3, Ojeda, Raquel1, María Rodas, Lida1, Lozano, Valentín1, Riambau, Vicens2, Maduell, Francisco1 |
| Source: | Nefrologia. jul/ago2019, Vol. 39 Issue 4, p388-394. 7p. |
| Subjects: | CENTRAL venous catheters, SURGICAL arteriovenous shunts, CHRONIC kidney failure, ARTIFICIAL implants, OPERATIVE surgery |
| Abstract (English): | Background: The basilic vein is a deep vein which usually requires superficialisation and surgical transposition. Material and methods: This is a retrospective study of 119 BBAVF-ST in patients with stage 5D chronic kidney disease who received an implant with a one-stage surgical technique (2011-2015). The percentage of primary (PP), assisted primary (APP) and secondary (SP) permeabilities were assessed, as well as the related complications. We analysed the permeabilities using Kaplan-Meier survival curves and a univariate Log Rank analysis (Mantel-Cox). P values less than or equal to 0.05 were considered as significant. Results: The mean age of the study group was 67.9 years, with 63.8% of the subjects being male. A total of 57 complications were detected during the follow-up period: 24 stenosis (42.1%), 11 thrombosis (19.2%), 7 vascular access steal syndromes (12.2%), 7 upper limb oedemas (12.2%), 6 post-puncture haematomas (10.5%) and 2 infections (3.5%). The percentages of PP obtained at 1, 6, 12 and 24 months were 92.4%, 79.8%, 66.3% and 52%; APP: 94.1%, 87.3%, 80.4% and 65.6%, and SP: 95%, 89.1%, 84% and 67.5%, respectively. Diabetic patients presented with significantly worse permeabilities than vascular or idiopathic patients: (P = .037, .009 and .019, respectively). Conclusions: According to the results obtained in our study, the one-stage surgical implementation of BBAVF-ST presents high permeability rates and a small number of related complications. Diabetes mellitus is a factor related to a worse surgical prognosis. Some of the biggest advantages are the greater optimisation of health resources and a shorter time in which the central venous catheter needs to remain in the body. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introduccion: La vena basilica se caracteriza por ser un vaso profundo que en la mayoria de los casos requiere superficializacion y trasposicion quirurgica. Material y metodos: Estudio retrospectivo de 119 FAVn HB S-T en pacientes con insuficiencia renal cronica 5D implantadas en un solo acto quirurgico (2011-2015). Se analiza el porcentaje de permeabilidades primaria (PP), primaria asistida (PPA) y secundaria (PS), asi como las complicaciones asociadas. Analisis de permeabilidades mediante curvas de supervivencia Kaplan-Meier y analisis univariante mediante Log Rank (Mantel-Cox). Se considera significativa una p<ë]ë" é Resultados: Edad media 67,9 an. os y 63,8% hombres. Durante el periodo de seguimiento se objetivaron un total de 57 complicaciones: 24 estenosis (42,1%), 11 trombosis (19,2%), 7 sindromes de robo vascular (12,2%), 7 edemas de extremidad superior (12,2%), 6 hematomas pospuncion (10,5%) y 2 infecciones (3,5%). Los porcentajes de PP obtenidos a 1, 6, 12 y 24 meses: 92,4, 79,8, 66,3 y 52; PPA: 94,1, 87,3, 80,4 y 65,6%, y PS: 95, 89,1, 84 y 67,5%. Se constataron diferencias significativas en las curvas de PP, PPA y PS segun la etiologia, presentando peores permeabilidades los diabeticos respecto a la vascular e idiopatica (p = 0,037, 0,009 y 0,019). Conclusiones: La implantacion quirurgica de FAVn HB S-T en un solo acto ofrece buenas tasas de permeabilidad y escaso numero de complicaciones asociadas. La diabetes mellitus representa un factor de peor pronostico quirurgico. Entre las mayores ventajas destacan una mejor optimizacion de los recursos sanitarios y menor tiempo de permanencia del cateter venoso central. [ABSTRACT FROM AUTHOR] |
| Copyright of Nefrologia is the property of Revista Nefrologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: Fístulas arteriovenosas nativas humerobasílicas con superficialización y trasposición en un solo acto quirúrgico. Revisión de cinco aŞos de experiencia. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Brachiobasilic arteriovenous fistula with superficialisation and transposition the basilic vein in a one stage surgical technique. Five years of single experience. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Fontseré%2C+Néstor%22">Fontseré, Néstor</searchLink><relatesTo>1</relatesTo><i> fontsere@clinic.ub.es</i><br /><searchLink fieldCode="AR" term="%22Mestres%2C+Gaspar%22">Mestres, Gaspar</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Yugueros%2C+Xavier%22">Yugueros, Xavier</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Jiménez%2C+Mario%22">Jiménez, Mario</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Burrel%2C+Marta%22">Burrel, Marta</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Gómez%2C+Fernando%22">Gómez, Fernando</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Ojeda%2C+Raquel%22">Ojeda, Raquel</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22María+Rodas%2C+Lida%22">María Rodas, Lida</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Lozano%2C+Valentín%22">Lozano, Valentín</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Riambau%2C+Vicens%22">Riambau, Vicens</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Maduell%2C+Francisco%22">Maduell, Francisco</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Nefrologia%22">Nefrologia</searchLink>. jul/ago2019, Vol. 39 Issue 4, p388-394. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CENTRAL+venous+catheters%22">CENTRAL venous catheters</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+arteriovenous+shunts%22">SURGICAL arteriovenous shunts</searchLink><br /><searchLink fieldCode="DE" term="%22CHRONIC+kidney+failure%22">CHRONIC kidney failure</searchLink><br /><searchLink fieldCode="DE" term="%22ARTIFICIAL+implants%22">ARTIFICIAL implants</searchLink><br /><searchLink fieldCode="DE" term="%22OPERATIVE+surgery%22">OPERATIVE surgery</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Background: The basilic vein is a deep vein which usually requires superficialisation and surgical transposition. Material and methods: This is a retrospective study of 119 BBAVF-ST in patients with stage 5D chronic kidney disease who received an implant with a one-stage surgical technique (2011-2015). The percentage of primary (PP), assisted primary (APP) and secondary (SP) permeabilities were assessed, as well as the related complications. We analysed the permeabilities using Kaplan-Meier survival curves and a univariate Log Rank analysis (Mantel-Cox). P values less than or equal to 0.05 were considered as significant. Results: The mean age of the study group was 67.9 years, with 63.8% of the subjects being male. A total of 57 complications were detected during the follow-up period: 24 stenosis (42.1%), 11 thrombosis (19.2%), 7 vascular access steal syndromes (12.2%), 7 upper limb oedemas (12.2%), 6 post-puncture haematomas (10.5%) and 2 infections (3.5%). The percentages of PP obtained at 1, 6, 12 and 24 months were 92.4%, 79.8%, 66.3% and 52%; APP: 94.1%, 87.3%, 80.4% and 65.6%, and SP: 95%, 89.1%, 84% and 67.5%, respectively. Diabetic patients presented with significantly worse permeabilities than vascular or idiopathic patients: (P = .037, .009 and .019, respectively). Conclusions: According to the results obtained in our study, the one-stage surgical implementation of BBAVF-ST presents high permeability rates and a small number of related complications. Diabetes mellitus is a factor related to a worse surgical prognosis. Some of the biggest advantages are the greater optimisation of health resources and a shorter time in which the central venous catheter needs to remain in the body. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introduccion: La vena basilica se caracteriza por ser un vaso profundo que en la mayoria de los casos requiere superficializacion y trasposicion quirurgica. Material y metodos: Estudio retrospectivo de 119 FAVn HB S-T en pacientes con insuficiencia renal cronica 5D implantadas en un solo acto quirurgico (2011-2015). Se analiza el porcentaje de permeabilidades primaria (PP), primaria asistida (PPA) y secundaria (PS), asi como las complicaciones asociadas. Analisis de permeabilidades mediante curvas de supervivencia Kaplan-Meier y analisis univariante mediante Log Rank (Mantel-Cox). Se considera significativa una p<ë]ë" é Resultados: Edad media 67,9 an. os y 63,8% hombres. Durante el periodo de seguimiento se objetivaron un total de 57 complicaciones: 24 estenosis (42,1%), 11 trombosis (19,2%), 7 sindromes de robo vascular (12,2%), 7 edemas de extremidad superior (12,2%), 6 hematomas pospuncion (10,5%) y 2 infecciones (3,5%). Los porcentajes de PP obtenidos a 1, 6, 12 y 24 meses: 92,4, 79,8, 66,3 y 52; PPA: 94,1, 87,3, 80,4 y 65,6%, y PS: 95, 89,1, 84 y 67,5%. Se constataron diferencias significativas en las curvas de PP, PPA y PS segun la etiologia, presentando peores permeabilidades los diabeticos respecto a la vascular e idiopatica (p = 0,037, 0,009 y 0,019). Conclusiones: La implantacion quirurgica de FAVn HB S-T en un solo acto ofrece buenas tasas de permeabilidad y escaso numero de complicaciones asociadas. La diabetes mellitus representa un factor de peor pronostico quirurgico. Entre las mayores ventajas destacan una mejor optimizacion de los recursos sanitarios y menor tiempo de permanencia del cateter venoso central. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Nefrologia is the property of Revista Nefrologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.nefro.2018.11.010 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 388 Subjects: – SubjectFull: CENTRAL venous catheters Type: general – SubjectFull: SURGICAL arteriovenous shunts Type: general – SubjectFull: CHRONIC kidney failure Type: general – SubjectFull: ARTIFICIAL implants Type: general – SubjectFull: OPERATIVE surgery Type: general Titles: – TitleFull: Fístulas arteriovenosas nativas humerobasílicas con superficialización y trasposición en un solo acto quirúrgico. Revisión de cinco aŞos de experiencia. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Fontseré, Néstor – PersonEntity: Name: NameFull: Mestres, Gaspar – PersonEntity: Name: NameFull: Yugueros, Xavier – PersonEntity: Name: NameFull: Jiménez, Mario – PersonEntity: Name: NameFull: Burrel, Marta – PersonEntity: Name: NameFull: Gómez, Fernando – PersonEntity: Name: NameFull: Ojeda, Raquel – PersonEntity: Name: NameFull: María Rodas, Lida – PersonEntity: Name: NameFull: Lozano, Valentín – PersonEntity: Name: NameFull: Riambau, Vicens – PersonEntity: Name: NameFull: Maduell, Francisco IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: jul/ago2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 02116995 Numbering: – Type: volume Value: 39 – Type: issue Value: 4 Titles: – TitleFull: Nefrologia Type: main |
| ResultId | 1 |
