{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:29:08Z","timestamp":1740169748467,"version":"3.37.3"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. The aim of the study was to identify the factors associated with repeated arteriovenous fistula (AVF) failure within 1-year, especially the impact of aortic arch calcification (AAC) on patency of AVF.<jats:italic>Materials and Methods<\/jats:italic>. We retrospectively assessed chest radiography in hemodialysis patients who had undergone initial AVF. The extent of AAC was categorized into four grades (0\u20133). The association between AAC grade, other clinical variables, and repeated failure of AVF was then analyzed by binary logistic regression analysis.<jats:italic>Results<\/jats:italic>. This study included 284 patients (158 males, mean age<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn fontstyle=\"italic\">61.7<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">13.1<\/mml:mn><\/mml:math>years). Patients with higher AAC grade were older, had more frequently diabetes mellitus and cardiovascular disease, had lower diastolic blood pressure, and had higher corrected calcium and lower intact parathyroid hormone levels. In multivariate analysis, the presence of higher AAC grade (odds ratio (95% confidence interval): 2.98 (1.43\u20136.23);<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.004<\/mml:mn><\/mml:math>), lower mean corrected calcium (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.017<\/mml:mn><\/mml:math>), and mean serum albumin level (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.00<\/mml:mn><mml:mn fontstyle=\"italic\">8<\/mml:mn><\/mml:math>) were associated with repeated failure of AVF.<jats:italic>Conclusions<\/jats:italic>. The presence of higher AAC grade, lower mean corrected calcium and mean serum albumin level were independently associated with repeated AVF failure within 1 year in hemodialysis patients.<\/jats:p>","DOI":"10.1155\/2017\/6728437","type":"journal-article","created":{"date-parts":[[2017,5,31]],"date-time":"2017-05-31T17:47:42Z","timestamp":1496252862000},"page":"1-9","source":"Crossref","is-referenced-by-count":5,"title":["Aortic Arch Calcification as a Predictor of Repeated Arteriovenous Fistula Failure within 1-Year in Hemodialysis Patients"],"prefix":"10.1155","volume":"2017","author":[{"given":"Yit-Sheung","family":"Yap","sequence":"first","affiliation":[{"name":"Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan"},{"name":"Division of Nephrology, Department of Internal Medicine, Yuan\u2019s General Hospital, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai-Ting","family":"Ting","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Internal Medicine, Yuan\u2019s General Hospital, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Che","family":"Chi","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, Yuan\u2019s General Hospital, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng-Hao","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, Yuan\u2019s General Hospital, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Chun","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, Yuan\u2019s General Hospital, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8864-4473","authenticated-orcid":true,"given":"Po-Lin","family":"Kuo","sequence":"additional","affiliation":[{"name":"Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7048-8396","authenticated-orcid":true,"given":"Wan-Long","family":"Chuang","sequence":"additional","affiliation":[{"name":"Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan"},{"name":"Division of Hepatobiliary, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, 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