{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T01:07:33Z","timestamp":1788829653444,"version":"build-2803163510"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"national natural science foundation of china","doi-asserted-by":"publisher","award":["82270731"],"award-info":[{"award-number":["82270731"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004608","name":"natural science foundation of jiangsu province","doi-asserted-by":"publisher","award":["BK20211054"],"award-info":[{"award-number":["BK20211054"]}],"id":[{"id":"10.13039\/501100004608","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013088","name":"qinglan project of jiangsu province of china","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013088","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Jiangsu Provincial Postgraduate Innovation Plan"},{"DOI":"10.13039\/501100003009","name":"science and technology development fund","doi-asserted-by":"publisher","award":["XYFC2020001, XYFY2020038"],"award-info":[{"award-number":["XYFC2020001, XYFY2020038"]}],"id":[{"id":"10.13039\/501100003009","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Xuzhou Key R&D Program","award":["KC20160"],"award-info":[{"award-number":["KC20160"]}]},{"name":"Xuzhou Medical Leading Talent Training Project","award":["XWRCHT20210038"],"award-info":[{"award-number":["XWRCHT20210038"]}]},{"name":"Hospital of Xuzhou Medical University"},{"name":"Lianyungang Fourth People's Hospital Young","award":["202402"],"award-info":[{"award-number":["202402"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Autogenous arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis. Small-caliber vessels (arterial diameter &lt;1.5 mm or venous diameter &lt;2.0 mm), are known risk factors for AVF maturation failure. This study investigated the minimum vessel threshold suitable for AVF creation and evaluated its long-term effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This multi-center prospective study included 140 patients with end-stage kidney disease aged \u2a7e18 years with ejection fraction \u2a7e30% (mean age 54.64 \u00b1 13.79 years; 66.4% male). Patients were divided into small-caliber (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 72) or normal (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 68) groups. Logistic regression evaluated risk factors for AVF maturation and Kaplan\u2013Meier analysis assessed functional survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Small-caliber vessels were significantly associated with failure of functional maturation (OR = 0.256, 95% CI [0.06\u20130.75],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.033). Functional maturity improved when vein diameter exceeded 1.35 mm and\/or artery diameter exceeded 1.25 mm (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>With careful preoperative Doppler ultrasound assessment, refined surgical technique, and close postoperative monitoring, satisfactory AVF maturation can be achieved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261437924","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T06:58:20Z","timestamp":1775804300000},"page":"2175-2183","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility analysis of small-caliber arteriovenous fistula for establishing vascular 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