Table 1.
Definition of AVF Nonmaturation | |
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1. With any CVC use (n=91): Nonremoval of the CVC >180 days from the date of AVF creation. 2. Without any CVC use (n=41): Inability to initiate HD using the new AVF at the time HD was deemed clinically necessary, or any AVF abandonment/new access creation before HD initiation. | |
AVF maturation outcomes | |
Nonmaturation (n=43) • 14 patients not on dialysis at the time of AVF placement initiated HD with a CVC after AVF placement and did not have CVC removed until >180 days after the date of AVF surgery • Seven patients not on dialysis at the time of AVF placement had early AVF thrombosis and underwent AVG placement before the initiation of HD • 21 patients dialyzing with a CVC at the time of AVF placement and did not have CVC removed until >180 days after the date of AVF surgery • One patient dialyzing with an AVG at the time of AVF placement had the AVF clot 3 months after surgery, and AVF was ultimately abandoned without being used for a new AVF 4 months after the date of AVF surgery |
Successful maturation (n=99) • 30 patients not on dialysis at the time of AVF placement initiated HD with a mature AVF at a median of 124 days after AVF creation (range 49–568 days) without any CVC usage • 15 patients not on dialysis at the time of AVF placement initiated HD with a CVC and had the CVC removed ≤180 days after AVF creation • 41 patients dialyzing with a CVC at the time of AVF placement had the CVC removed ≤180 days after AVF creation • Two patients on PD initiated HD using the new AVF at 49 and 127 days after AVF creation, respectively • One patient dialyzing with an AVF at the time of AVF placement initiated HD with the new AVF 69 days after AVF creation |
Granular data regarding arteriovenous fistula maturation outcomes is listed below. AVF, arteriovenous fistula; CVC, central venous catheter; HD, hemodialysis; AVG, arteriovenous graft; PD, peritoneal dialysis.