{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:27:01Z","timestamp":1787761621521,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Successful creation of a long-lasting haemodialysis access is one of the cornerstones in the management of patients with end stage kidney failure (ESKF). Arteriovenous fistula (AVF) of native vessels is preferred over prosthetic grafts and central venous catheters because, at comparable flow rates, it is associated with lower complications.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To evaluate the early experience and outcomes of native AVF creation at a tertiary cardiovascular centre in south-west Nigeria.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n We retrospectively reviewed all patients with complete documentation who had native atrioventricular fistula creation from January 2019 to December 2023. Data was obtained from hospital medical records using a predesigned proforma. The data included demographic characteristics, aetiology of ESKF, previous haemodialysis, preoperative assessment, type of AVF, maturity, complications, and outcome.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Sixty-four patients who had native AVF creation were reviewed. There were 40 males (62.5%) and 24 females (37.5%) in the study. Distal radiocephalic AVF was the most common type of AVF performed. Primary failure was observed in seven patients (10.9%), and 10 patients were lost to follow-up. Excluding patients who were lost to follow-up, 47 (87.0%) AVFs attained maturity, and pseudoaneurysm occurring in 4 (6.2%) patients was the most common complication in this cohort.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n In patients with ESKF with favourable vessel characteristics, native AVF remains a valuable long-term access for chronic haemodialysis with acceptable maturity rates, minimal complications, and a satisfactory outcome.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jwas.jwas_83_25","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:00:20Z","timestamp":1758538820000},"page":"320-324","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Native Arteriovenous Fistula Creation for Haemodialysis in South-West Nigeria: A 5-Year Review from the Cardiovascular and Thoracic Surgery Unit of a Tertiary Institution"],"prefix":"10.4103","volume":"16","author":[{"given":"Olugbenga O.","family":"Ojo","sequence":"first","affiliation":[{"name":"Department of Surgery, Cardiovascular and Thoracic Surgery Unit, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uvie U.","family":"Onakpoya","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cardiovascular and Thoracic Surgery Unit, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluseyi A.","family":"Adejumo","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Medical Sciences, Ondo City, Ondo State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeniyi","family":"Aderibigbe","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abayomi E.","family":"Oguns","sequence":"additional","affiliation":[{"name":"Cardiovascular and Thoracic Surgery Unit, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwaseun R.","family":"Akanbi","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Surgery, University of Ilorin Teaching Hospitals, Ilorin, Kwara State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter O.","family":"Ajayi","sequence":"additional","affiliation":[{"name":"Cardiovascular and Thoracic Surgery Unit, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"CIT0001-20260608","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s11255-021-02908-5","article-title":"Outcomes and predictors of failure of arteriovenous fistulae for hemodialysis","volume":"54","author":"Ramanan","year":"2022","journal-title":"Int Urol Nephrol"},{"key":"CIT0002-20260608","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1681\/ASN.2012070643","article-title":"Associations between hemodialysis access type and clinical outcomes: A systematic review","volume":"24","author":"Ravani","year":"2013","journal-title":"J Am Soc Nephrol"},{"key":"CIT0003-20260608","first-page":"193","article-title":"Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula","volume":"10","author":"Brescia","year":"1999","journal-title":"J Am Soc 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access","volume":"139","author":"Fitzgerald","year":"2004","journal-title":"Arch Surg"},{"key":"CIT0008-20260608","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4103\/1596-3519.112410","article-title":"Outcome and complications of permanent hemodialysis vascular access in Nigerians: A single centre experience","volume":"12","author":"Alhassan","year":"2013","journal-title":"Ann Afr Med"},{"key":"CIT0009-20260608","doi-asserted-by":"crossref","first-page":"924","DOI":"10.4103\/1319-2442.239628","article-title":"Renal data from Asia-Africa experience with arteriovenous fistula creation for maintenance hemodialysis in a tertiary hospital in South-Western Nigeria","volume":"29","author":"Salako","year":"2018","journal-title":"Saudi J Kidney Dis Transpl"},{"key":"CIT0010-20260608","doi-asserted-by":"crossref","first-page":"6","DOI":"10.4103\/1117-1936.175228","article-title":"Arteriovenous fistula for patients on long-term haemodialysis in Jos, Nigeria","volume":"12","author":"Yiltok","year":"2005","journal-title":"Nigerian Postgrad Med J"},{"key":"CIT0011-20260608","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1053\/j.ajkd.2019.12.001","article-title":"KDOQI clinical practice guideline for vascular access: 2019 update","volume":"75","author":"Lok","year":"2020","journal-title":"Am J Kidney Dis"},{"key":"CIT0012-20260608","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1046\/j.1523-1755.2001.00947.x","article-title":"Type of vascular access and mortality in U.S. hemodialysis patients","volume":"60","author":"Dhingra","year":"2001","journal-title":"Kidney Int"},{"key":"CIT0013-20260608","doi-asserted-by":"crossref","first-page":"113","DOI":"10.5758\/vsi.2016.32.3.113","article-title":"Outcomes of arteriovenous fistula for hemodialysis in pediatric and adolescent patients","volume":"32","author":"Kim","year":"2016","journal-title":"Vasc Specialist 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