{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T02:03:15Z","timestamp":1779933795411,"version":"3.53.1"},"reference-count":35,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T00:00:00Z","timestamp":1557705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>A major pathology affecting the usability of arteriovenous fistulas for hemodialysis is juxta-anastomosis stenosis. Intraoperative pneumatic tourniquet eliminates the use of vascular clamps, reduces vascular trauma, and may then reduce the juxta-anastomosis stenosis. The aim of this study was to compare the outcomes of arteriovenous fistula creations using the tourniquet-assisted approach versus the clamp-assisted approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study analyzed the outcomes of primary arteriovenous fistulas created by the lead author from 2008 to 2017 and met the specified inclusion criteria applied to both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 575 patients were included. Upon comparing the tourniquet group ( n\u2009=\u2009411) with the clamp group ( n\u2009=\u2009164): the primary arteriovenous fistula failure rate was significantly lower (2.4% vs 7.3%, p\u2009=\u20090.01); the percentage of arteriovenous fistula used for hemodialysis without initial interventions was significantly higher (71.5% vs 45.1%, p\u2009&lt;\u20090.001) and with initial interventions was conversely lower (26.0% vs 47.6%, p\u2009&lt;\u20090.001); the primary patency rate of the whole fistula conduits was significantly higher (44.2% vs 23.0% at 1\u2009year, p\u2009&lt;\u20090.001) and so was the cumulative patency rate (97.2% vs 92.6% at 1\u2009year, p\u2009&lt;\u20090.001); and the juxta-anastomosis primary patency rate (free of interventions for the juxta-anastomosis region) was higher (71.0% vs 47.8% at 1\u2009year, p\u2009&lt;\u20090.001). Based on multivariate Cox proportional hazards regression analyses, the effect of tourniquet use on the juxta-anastomosis primary patency remained significant (hazard ratio\u2009=\u20092.24, 95% confidence interval\u2009=\u20091.72\u20132.93, p\u2009&lt;\u20090.001) when other significant factors (fistula location, gender, and diabetes) were considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Intraoperative pneumatic tourniquet may significantly improve the clinical outcomes of arteriovenous fistula creations by reducing juxta-anastomosis trauma and subsequent stenosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1129729819845968","type":"journal-article","created":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T08:08:41Z","timestamp":1557734921000},"page":"706-715","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Intraoperative pneumatic tourniquet use may improve the clinical outcomes of arteriovenous fistula creations"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8484-1795","authenticated-orcid":false,"given":"Shouwen","family":"Wang","sequence":"first","affiliation":[{"name":"Ambulatory Surgery Center, Arizona Kidney Disease & Hypertension Center (AKDHC), Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele S","family":"Wang","sequence":"additional","affiliation":[{"name":"Ambulatory Surgery Center, Arizona Kidney Disease & Hypertension Center (AKDHC), Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,5,13]]},"reference":[{"key":"bibr1-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2006.04.029"},{"key":"bibr2-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.08.042"},{"key":"bibr3-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1001\/jama.299.18.2164"},{"key":"bibr4-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2016121355"},{"key":"bibr5-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.07.086"},{"key":"bibr6-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.10.027"},{"key":"bibr7-1129729819845968","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02030216"},{"key":"bibr8-1129729819845968","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02740313"},{"key":"bibr9-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920140709"},{"key":"bibr10-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1007\/BF00858828"},{"key":"bibr11-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70228-9"},{"key":"bibr12-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000017"},{"key":"bibr13-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1002\/micr.10129"},{"key":"bibr14-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp452"},{"key":"bibr15-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1177\/096721090301100107"},{"key":"bibr16-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000230"},{"key":"bibr17-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000676"},{"key":"bibr18-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12242"},{"key":"bibr19-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.10.081"},{"key":"bibr20-1129729819845968","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.13321216"},{"key":"bibr21-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.122025"},{"key":"bibr22-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2012.01082.x"},{"key":"bibr23-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000570"},{"key":"bibr24-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000104"},{"key":"bibr25-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.03.009"},{"key":"bibr26-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818757709"},{"key":"bibr27-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.03.429"},{"key":"bibr28-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-0968.2003.00098.x"},{"key":"bibr29-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-017-3854-6"},{"key":"bibr30-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000527"},{"key":"bibr31-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.08.101"},{"key":"bibr32-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.07.090"},{"key":"bibr33-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000764"},{"key":"bibr34-1129729819845968","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.04.023"},{"key":"bibr35-1129729819845968","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000698"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729819845968","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1129729819845968","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729819845968","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:14:19Z","timestamp":1777691659000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1129729819845968"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,13]]},"references-count":35,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1177\/1129729819845968"],"URL":"https:\/\/doi.org\/10.1177\/1129729819845968","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,13]]}}}