{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T11:16:50Z","timestamp":1757589410785},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,8,29]],"date-time":"2014-08-29T00:00:00Z","timestamp":1409270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Primary failure, early thrombosis, and inadequate maturation are the main complications encountered in arteriovenous fistulas. Doppler ultrasonographic assessment of flow\u2010mediated dilatation (<jats:styled-content style=\"fixed-case\">FMD<\/jats:styled-content>) is currently used for the early diagnosis of atherosclerosis. Clinical experience in the use of <jats:styled-content style=\"fixed-case\">FMD<\/jats:styled-content> for preoperative assessment of vasculature is rather limited; therefore, we sought to elucidate the relationship between preoperative <jats:styled-content style=\"fixed-case\">FMD<\/jats:styled-content> and primary failure of the fistula. Thirty\u2010three patients with end\u2010stage renal disease who were admitted to our hospital between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary and <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 2005 were included in our study. Medical histories were established and the internal diameter, wall thickness, peak systolic flow rate, and resistive index (<jats:styled-content style=\"fixed-case\">RI<\/jats:styled-content>) were measured in the cephalic vein and radial and brachial arteries. Flow\u2010mediated dilatation and nitrate\u2010mediated dilatation (<jats:styled-content style=\"fixed-case\">NMD<\/jats:styled-content>) of the brachial artery were assessed. Fistulas were evaluated 48 hours and 30 days postoperatively. Brachial arterial internal diameter was lower in all fistulas that developed primary failure in 48 hours (0.4\u2009\u00b1\u20090.07\u2009cm vs. 0.35\u2009\u00b1\u20090.07\u2009cm, P\u2009=\u20090.016). The radial artery <jats:styled-content style=\"fixed-case\">RI<\/jats:styled-content> was found to be significantly elevated in fistulas with both early (48\u2010hour) and late\u2010term (30\u2010day) failure (0.9\u2009\u00b1\u20090.08 vs. 0.68\u2009\u00b1\u20090.3, P\u2009=\u20090.01, and 0.86\u2009\u00b1\u20090.8 vs. 0.67\u2009\u00b1\u20090.3, P\u2009=\u20090.038, respectively). The brachial artery peak systolic flow rate was significantly reduced in patients in the radiocephalic fistula group that developed early and late\u2010term failure (42.9\u2009\u00b1\u200912\u2009cm\/sec vs. 68.4\u2009\u00b1\u200910\u2009cm\/sec, P\u2009=\u20090.01, and 44.1\u2009\u00b1\u200913\u2009cm\/sec vs. 57.7\u2009\u00b1\u200916\u2009cm\/sec, P\u2009=\u20090.038, respectively). Our study, constrained by a smaller, older patient group, was unable to show a statistically significant correlation between <jats:styled-content style=\"fixed-case\">FMD<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">NMD<\/jats:styled-content>, and fistula success. Any single parameter may not be sufficient to assess vascular health preoperatively. A multifactorial approach incorporating parameters evaluating arterial and venous function might be more effective in predicting fistula success. Further studies on larger patient groups may indeed demonstrate the value of these assessments.<\/jats:p>","DOI":"10.1111\/hdi.12206","type":"journal-article","created":{"date-parts":[[2014,8,29]],"date-time":"2014-08-29T11:42:34Z","timestamp":1409312554000},"page":"296-305","source":"Crossref","is-referenced-by-count":15,"title":["Can primary failure of arteriovenous fistulas be anticipated?"],"prefix":"10.1111","volume":"19","author":[{"given":"Dilek","family":"Gibyeli Genek","sequence":"first","affiliation":[{"name":"Department of Nephrology Dokuz Eylul University School of Medicine  Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Canan","family":"Tuncer Altay","sequence":"additional","affiliation":[{"name":"Department of Radiology Dokuz Eylul University School of Medicine  Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarkan","family":"Unek","sequence":"additional","affiliation":[{"name":"Department of General Surgery Dokuz Eylul University School of Medicine  Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aykut","family":"Sifil","sequence":"additional","affiliation":[{"name":"Department of Nephrology Dokuz Eylul University School of Medicine  Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Se\u00e7il","sequence":"additional","affiliation":[{"name":"Department of Radiology Dokuz Eylul University School of Medicine  Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taner","family":"Camsari","sequence":"additional","affiliation":[{"name":"Department of Nephrology Dokuz Eylul University School of Medicine  Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,29]]},"reference":[{"issue":"1","key":"e_1_2_5_2_1","first-page":"S176","article-title":"NKF\u2010K\/DOQI clinical practice guidelines for vascular access: Update 2006","volume":"48","author":"National Kidney Foundation","year":"2006","journal-title":"Am J Kidney Dis"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-1755.2002.kid551.x"},{"key":"e_1_2_5_4_1","unstructured":"Centers for Medicare & Medicaid Services.Fistula First Breakthrough.2013. 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