Department of Cardiovascular Surgery, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Ren Fail. 2013 Sep;35(8):1085-8. doi: 10.3109/0886022X.2013.815100. Epub 2013 Aug 1.
Arteriovenous fistula (AVF) is the most important vascular access method for hemodialysis (HD). In this study, the relationship between AVF success and inflammation in patients who had HD due to end-stage renal failure (ESRF) was investigated.
In the study, a total of 658 patients, who started HD for ESRF, were evaluated retrospectively. A total of 386 patients were included in this study. The demographic data and C-reactive protein, albumin and fibrinogen levels were investigated in patients with recognized success AVF.
In total 311 patients with successful AVF and 75 unsuccessful AVFs were found. In unsuccessful AVF group the average low albumin level, high C-reactive protein and fibrinogen levels were found to be statistically meaningful when compared with successful AVF group (p < 0.001, p < 0.001, p < 0.001).
As a result, we think that the evaluation of inflammation before creating AVF in HD patients is very important for increasing the success of AVF.
动静脉瘘（AVF）是血液透析（HD）最重要的血管通路方法。本研究旨在探讨因终末期肾衰竭（ESRF）而接受 HD 的患者中，AVF 成功与炎症之间的关系。
本研究回顾性评估了 658 例开始因 ESRF 接受 HD 的患者。共纳入 386 例患者。对有明确成功 AVF 的患者进行了人口统计学数据及 C 反应蛋白、白蛋白和纤维蛋白原水平的调查。
共发现 311 例 AVF 成功和 75 例 AVF 失败。在 AVF 失败组中，与 AVF 成功组相比，白蛋白水平较低、C 反应蛋白和纤维蛋白原水平较高，差异有统计学意义（p<0.001，p<0.001，p<0.001）。
因此，我们认为在为 HD 患者建立 AVF 之前评估炎症对于增加 AVF 的成功率非常重要。
