{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T22:59:22Z","timestamp":1768949962332,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Arteriovenous (AV) fistulas are widely used in hemodialysis patients, but their most common complication is stenosis. Stiffness at the arterial site of the AV fistula is believed to contribute to stenosis. This study examines whether arterial stiffness can predict the development of AV fistula stenosis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Arterial stiffness was assessed using brachial\u2010ankle pulse wave velocity (PWV). Chart reviews and laboratory records were analyzed. The diagnosis and intervention for AV fistula stenosis were performed using fistulography and percutaneous transluminal angioplasty.<\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n \n A total of 80 patients were enrolled in the study. Over the 7\u2010year follow\u2010up period, 40 patients developed\n AV<\/jats:styled-content>\n fistula stenosis. Univariate logistic regression analysis revealed that\n AV<\/jats:styled-content>\n fistula stenosis was significantly associated with diabetes (\n OR<\/jats:styled-content>\n : 4.68, 95%\n CI<\/jats:styled-content>\n : 1.19\u201318.34,\n p<\/jats:italic>\n \u2009=\u20090.03), average monthly cholesterol level (\n OR<\/jats:styled-content>\n : 1.02, 95%\n CI<\/jats:styled-content>\n : 1.00\u20131.04,\n p<\/jats:italic>\n \u2009=\u20090.03), average monthly triglyceride level (\n OR<\/jats:styled-content>\n : 1.01, 95%\n CI<\/jats:styled-content>\n : 1.00\u20131.01,\n p<\/jats:italic>\n \u2009=\u20090.02), and brachial\u2010ankle\n PWV<\/jats:styled-content>\n (\n OR<\/jats:styled-content>\n : 1.61, 95%\n CI<\/jats:styled-content>\n : 1.32\u20131.97,\n p<\/jats:italic>\n \u2009<\u20090.01). In multivariate logistic regression analysis, only brachial\u2010ankle\n PWV<\/jats:styled-content>\n remained significantly associated with\n AV<\/jats:styled-content>\n fistula stenosis (\n OR<\/jats:styled-content>\n : 1.72, 95%\n CI<\/jats:styled-content>\n : 1.34\u20132.22,\n p<\/jats:italic>\n \u2009<\u20090.01). Receiver\u2010operating characteristic curve analysis identified 16.75\u2009m\/s as the optimal cutoff value of brachial\u2010ankle\n PWV<\/jats:styled-content>\n for predicting the development of\n AV<\/jats:styled-content>\n fistula stenosis. Patients with\n PWV<\/jats:styled-content>\n \u2009>\u200916.75\u2009m\/s had a significantly higher risk of developing\n AV<\/jats:styled-content>\n fistula stenosis compared with those with a\n PWV<\/jats:styled-content>\n \u2264\u200916.75\u2009m\/s (\n HR<\/jats:styled-content>\n : 4.71, 95%\n CI<\/jats:styled-content>\n : 2.22\u20139.97,\n p<\/jats:italic>\n \u2009<\u20090.01).\n <\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Assessment of brachial\u2010ankle PWV can improve the prediction efficacy of AV fistula stenosis development in hemodialysis patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hdi.70001","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T04:28:07Z","timestamp":1750652887000},"page":"66-72","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Pulse Wave Velocity and Arteriovenous Fistula Stenosis in Hemodialysis Patients"],"prefix":"10.1111","volume":"30","author":[{"given":"Kai\u2010Ni","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Nephrology Tainan Sinlau Hospital Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1793-6377","authenticated-orcid":false,"given":"Chien\u2010An","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nephrology Tainan Sinlau Hospital Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Yu","family":"Yang","sequence":"additional","affiliation":[{"name":"Graduate Institute of Nursing, College of Nursing, Kaohsiung Medical University Kaohsiung 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