[Multiple Single Cannulation Technique Improves the Outcomes of Arteriovenous Graft in Hemodialysis Patients: A Retrospective Study].

Q3 Medicine 四川大学学报(医学版) Pub Date : 2024-07-20 DOI:10.12182/20240760207

Ruimin Wang, Siyan Wang, Xiaoling Xue, Xiaohong Yue, Xinfang Wang, Pei Wang, Xianhui Liang

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Abstract

Objective: To evaluate the effects of the multiple single cannulation technique (MUST) on the outcomes of arteriovenous graft (AVG).

Methods: A retrospective study of AVG created between January 2018 and December 2021 at the First Affiliated Hospital of Zhengzhou University was conducted. The clinical data of patients and their follow-up data for venous access were analyzed. Subjects were divided into the MUST group or the non-MUST group according to whether MUST was used. The cumulative patency rate and complication incidence were compared between the two groups. Logistic regression was applied to analyze the influencing factors of applying MUST in AVG.

Results: The MUST group included 115 AVG and the non-MUST group, 122 AVG. The 1-year, 2-year, 3-year, and 4-year cumulative patency rates of the MUST group were 100%, 99.1%, 95.2%, 85.4%, and 73.2%, respectively, while those for the non-MUST group were 97.5%, 92.7%, 77.7%, 69.7%, and 50.0%, respectively, with the 2-year and 3-year patency rates showing significant difference (P=0.022, P=0.004). The standard intervention rate expressed in (median [interquartile range]) in the MUST group was significantly lower than that in the non-MUST group (0.46 [0.00, 0.94] vs. 0.97 [0.60, 1.59], Z=-5.808, P<0.001). A total of 24 (20.9%) AVG in the MUST group and 60 (49.2%) AVG in the non-MUST group had a standard intervention rate >1.0 per patient-year, with significant difference between the two groups. Three (2.6%) AVG in the MUST group and 7 (5.7%) AVG in the non-MUST group were complicated by aneurysm (χ ²=20.737, P<0.001). One (0.9%) AVG in the MUST group and 6 (4.9%) AVG in the non-MUST group had graft infection, with the difference between the groups showing no significance (P=0.121). Multivariate logistic regression showed that dialysis in the alliance facilities (odds ratio [OR]=2.713, 95% confidence interval [CI]: 1.698-4.336, P<0.001], and excellent follow-up [OR=2.189, 95% CI: 1.221-3.927, P=0.009] were the influencing factors of applying MUST in AVG.

Conclusion: MUST improves the cumulative patency of AVG and decreases the intervention frequency and the incidence of aneurysm without increasing the risk of graft infection.

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[多重单一插管技术可改善血液透析患者动静脉移植的疗效：一项回顾性研究]。

目的评估多次单次插管技术（MUST）对动静脉移植（AVG）疗效的影响：对郑州大学第一附属医院 2018 年 1 月至 2021 年 12 月间创建的 AVG 进行回顾性研究。分析患者的临床数据及其静脉通路的随访数据。根据是否使用 MUST，将受试者分为 MUST 组和非 MUST 组。比较两组的累积通畅率和并发症发生率。应用 Logistic 回归分析在 AVG 中应用 MUST 的影响因素：结果：MUST组包括115例AVG，非MUST组包括122例AVG。MUST组的1年、2年、3年和4年累积通畅率分别为100%、99.1%、95.2%、85.4%和73.2%，而非MUST组分别为97.5%、92.7%、77.7%、69.7%和50.0%，其中2年和3年通畅率差异显著（P=0.022，P=0.004）。MUST组的标准干预率（中位数[四分位间范围]）明显低于非MUST组（0.46 [0.00, 0.94] vs. 0.97 [0.60, 1.59]，Z=-5.808，P1.0/患者-年，两组间差异显著。MUST组有3例（2.6%）动静脉畸形并发动脉瘤，非MUST组有7例（5.7%）动静脉畸形并发动脉瘤（χ 2=20.737，PP=0.121）。多变量逻辑回归显示，在联盟机构中进行透析（赔率比 [OR]=2.713, 95% 置信区间 [CI]：1.698-4.336），在非联盟机构中进行透析（赔率比 [OR]=2.713, 95% 置信区间 [CI结论：MUST 可改善 AVG 的累积通畅率：结论：MUST 提高了 AVG 的累积通畅率，降低了干预频率和动脉瘤的发生率，但不会增加移植物感染的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

四川大学学报(医学版) Biochemistry, Genetics and Molecular Biology-Molecular Biology

CiteScore

0.70

自引率

0.00%

发文量

8695

期刊介绍： "Journal of Sichuan University (Medical Edition)" is a comprehensive medical academic journal sponsored by Sichuan University, a higher education institution directly under the Ministry of Education of the People's Republic of China. It was founded in 1959 and was originally named "Journal of Sichuan Medical College". In 1986, it was renamed "Journal of West China University of Medical Sciences". In 2003, it was renamed "Journal of Sichuan University (Medical Edition)" (bimonthly). "Journal of Sichuan University (Medical Edition)" is a Chinese core journal and a Chinese authoritative academic journal (RCCSE). It is included in the retrieval systems such as China Science and Technology Papers and Citation Database (CSTPCD), China Science Citation Database (CSCD) (core version), Peking University Library's "Overview of Chinese Core Journals", the U.S. "Index Medica" (IM/Medline), the U.S. "PubMed Central" (PMC), the U.S. "Biological Abstracts" (BA), the U.S. "Chemical Abstracts" (CA), the U.S. EBSCO, the Netherlands "Abstracts and Citation Database" (Scopus), the Japan Science and Technology Agency Database (JST), the Russian "Abstract Magazine", the Chinese Biomedical Literature CD-ROM Database (CBMdisc), the Chinese Biomedical Periodical Literature Database (CMCC), the China Academic Journal Network Full-text Database (CNKI), the Chinese Academic Journal (CD-ROM Edition), and the Wanfang Data-Digital Journal Group.