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Pre-existing arterial pathologic changes affecting arteriovenous fistula patency and cardiovascular mortality in hemodialysis patients

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초록

The radiocephalic arteriovenous fistula (AVF) provides optimal vascular access for hemodialysis; it has a higher long-term patency rate and fewer complications than other vascular access methods. However, the AVF has a high primary failure rate. The presence of small‑diameter vessels at anastomosis sites is an important risk factor for AVF failure. However, in a recent study, despite selecting an adequate artery and vein for creating an AVF by routine preoperative vascular mapping, AVF maturation and primary failure occurred. Thus, pre‑existing arteriosclerosis at AVF anastomosis sites likely contributes to AVF failure. In this review, we discuss the relationship between pathologic changes and AVF patency in hemodialysis patients. Because arteriosclerosis of the major arteries such as the coronary and carotid arteries is associated with cardiovascular mortality, we also review the impact of arteriosclerosis of upper arm arteries at AVF anastomosis sites on cardiovascular mortality in hemodialysis patients.

Abstract

The radiocephalic arteriovenous fistula (AVF) provides optimal vascular access for hemodialysis; it has a higher long-term patency rate and fewer complications than other vascular access methods. However, the AVF has a high primary failure rate. The presence of small‑diameter vessels at anastomosis sites is an important risk factor for AVF failure. However, in a recent study, despite selecting an adequate artery and vein for creating an AVF by routine preoperative vascular mapping, AVF maturation and primary failure occurred. Thus, pre‑existing arteriosclerosis at AVF anastomosis sites likely contributes to AVF failure. In this review, we discuss the relationship between pathologic changes and AVF patency in hemodialysis patients. Because arteriosclerosis of the major arteries such as the coronary and carotid arteries is associated with cardiovascular mortality, we also review the impact of arteriosclerosis of upper arm arteries at AVF anastomosis sites on cardiovascular mortality in hemodialysis patients.

참고문헌 (54)

  1. "III. NKF-K", DOQI clinical practice guidelines for vascular access: update 2000, 2001, pp.37(1 Suppl 1), S137~S181
  2. Lee J, "Retrospective review of angiography before cannulation of newly created vascular accesses in hemodialysis patients", J Vasc Interv Radiol, 24, pp.1309~1315 (2013)
  3. Lok CE., "Fistula first initiative: advantages and pitfalls", Clin J Am Soc Nephrol, 2, pp.1043~1053 (2007)
  4. Patel ST, "Failure of arteriovenous fistula maturation: an unintended consequence of exceeding dialysis outcome quality Initiative guidelines for hemodialysis access", J Vasc Surg, 38, pp.439~445 (2003)
  5. Lok CE, "Cumulative patency of contemporary fistulas versus grafts (2000-2010)", Clin J Am Soc Nephrol, 8, pp.810~818 (2013)
  6. Combe C, "Dialysis: ‘catheter last’ not ‘fistula first’ in elderly patients", Nat Rev Nephrol, 9, pp.632~634 (2013)
  7. DeSilva RN, "Fistula first is not always the best strategy for the elderly", J Am Soc Nephrol, 24, pp.1297~1304 (2013)
  8. Peterson WJ, "Disparities in fistula maturation persist despite preoperative vascular mapping", Clin J Am Soc Nephrol, 3, pp.437~441 (2008)
  9. Chitalia N, "Neointimal hyperplasia and calcification in medium sized arteries in adult patients with chronic kidney disease", Semin Dial, 28, pp.E35~E40 (2015)
  10. Di Lullo L, "Chronic kidney disease and cardiovascular complications", Heart Fail Rev, 20, pp.259~272 (2015)
  11. Schiffrin EL, "Chronic kidney disease:effects on the cardiovascular system", Circulation, 116, pp.85~97 (2007)
  12. Foley RN, "Clinical epidemiology of cardiovascular disease in chronic renal disease", Am J Kidney Dis, 32(5 Suppl 3), pp.S112~S119 (1998)
  13. Sarnak MJ., "Cardiovascular complications in chronic kidney disease", Am J Kidney Dis, 41(5 Suppl), pp.11~17 (2003)
  14. London GM, "Arterial structure and function in end-stage renal disease", Nephrol Dial Transplant, 17, pp.1713~1724 (2002)
  15. Klassen PS, "Association between pulse pressure and mortality in patients undergoing maintenance hemodialysis", JAMA, 287, pp.1548~1555 (2002)
  16. Ejerblad S, "Arterial lesions of the radial artery in uraemic patients", Acta Chir Scand, 145, pp.415~428 (1979)
  17. Ruengsakulrach P, "Comparative histopathology of radial artery versus internal thoracic artery and risk factors for development of intimal hyperplasia and atherosclerosis", Circulation, 100, pp.II139~II144 (1999)
  18. MacKay AJ, "Radial artery hypertrophy occurs in coronary atherosclerosis and is independent of blood pressure", Clin Sci (Lond), 100, pp.509~516 (2001)
  19. Chowdhury UK, "Histopathology and morphometry of radial artery conduits: basic study and clinical application", Ann Thorac Surg, 78, pp.1614~1621 (2004)
  20. Johansson M, "High-resolution ultrasound showing increased intima and media thickness of the radial artery in patients with end-stage renal disease", Atherosclerosis, 211, pp.159~163 (2010)
  21. Stary HC, "A definition of advanced types of atherosclerotic lesions and a histological classification of atherosclerosis: a report from the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association", Circulation, 92, pp.1355~1374 (1995)
  22. Ross R., "The pathogenesis of atherosclerosis: a perspective for the 1990s", Nature, 362, pp.801~809 (1993)
  23. Kim YO, "Preexisting intimal hyperplasia of radial artery is associated with early failure of radiocephalic arteriovenous fistula in hemodialysis patients", Am J Kidney Dis, 41, pp.422~428 (2003)
  24. Sato M, "Relation of carotid intima-media thickness and silent cerebral infarction to cardiovascular events and all-cause mortality in chronic hemodialysis patients", Intern Med, 51, pp.2111~2117 (2012)
  25. Szeto CC, "Carotid intima media thickness predicts cardiovascular diseases in Chinese predialysis patients with chronic kidney disease", J Am Soc Nephrol, 18, pp.1966~1972 (2007)
  26. Nishizawa Y, "Intima-media thickness of carotid artery predicts cardiovascular mortality in hemodialysis patients", Am J Kidney Dis, 41(3Suppl 1), pp.S76~S79 (2003)
  27. Amann K., "Media calcification and intima calcification are distinct entities in chronic kidney disease", Clin J Am Soc Nephrol, 3, pp.1599~1605 (2008)
  28. Himmelfarb J, "Hemodialysis vascular access:emerging concepts", Curr Opin Nephrol Hypertens, 5, pp.485~491 (1996)
  29. Mousa AY, "Radiocephalic fistula:review and update", Ann Vasc Surg, 27, pp.370~378 (2013)
  30. Browne LD, "The role of shear stress in arteriovenous fistula maturation and failure: a systematic review", PLoS One, 10, pp.e0145795~ (2015)
  31. Sivanesan S, "Characterizing flow distributions in AV fistulae for haemodialysis access", Nephrol Dial Transplant, 13, pp.3108~3110 (1998)
  32. Ene-Iordache B, "Radial artery remodeling in response to shear stress increase within arteriovenous fistula for hemodialysis access", Endothelium, 10, pp.95~102 (2003)
  33. Young Ok Kim, "The Impact of Intima-media Thickness of Radial Artery on Early Failure of Radiocephalic Arteriovenous Fistula in Hemodialysis Patients", Journal of Korean Medical Science, 21(2), pp.284~289 (2006), 대한의학회
  34. Allon M, "Medial fibrosis, vascular calcification, intimal hyperplasia, and arteriovenous fistula maturation", Am J Kidney Dis, 58, pp.437~443 (2011)
  35. Yan TK, "The histological changes in radial artery in uremia and their effects on arterial stiffness", Zhonghua Nei Ke Za Zhi, 49, pp.577~581 (2010)
  36. Allon M, "Correlation of pre-existing vascular pathology with arteriovenous graft outcomes in hemodialysis patients", Am J Kidney Dis, 62, pp.1122~1129 (2013)
  37. Kaufer E, "Pathology of the radial and internal thoracic arteries used as coronary artery bypass grafts", Ann Thorac Surg, 63, pp.1118~1122 (1997)
  38. Tripathi V, "Histopathological changes of radial artery wall in patients of chronic kidney disease stage 5 undergoing AV fistula formation and their correlation with serum iPTH levels", Saudi J Kidney Dis Transpl, 26, pp.884~889 (2015)
  39. Ku YM, "Ultrasonographic measurement of intima-media thickness of radial artery in pre-dialysis uraemic patients: comparison with histological examination", Nephrol Dial Transplant, 21, pp.715~720 (2006)
  40. Simon A, "Intima-media thickness: a new tool for diagnosis and treatment of cardiovascular risk", J Hypertens, 20, pp.159~169 (2002)
  41. Mizobuchi M, "Vascular calcification:the killer of patients with chronic kidney disease", J Am Soc Nephrol, 20, pp.1453~1464 (2009)
  42. Paloian NJ, "A current understanding of vascular calcification in CKD", Am J Physiol Renal Physiol, 307, pp.F891~F900 (2014)
  43. "J Vasc Access", 2011, 173~
  44. Shroff RC, "Dialysis accelerates medial vascular calcification in part by triggering smooth muscle cell apoptosis", Circulation, 118, pp.1748~1757 (2008)
  45. Kim HG, "Arterial micro-calcification of vascular access is associated with aortic arch calcification and arterial stiffness in hemodialysis patients", Semin Dial, 26, pp.216~222 (2013)
  46. Yun YS, "Impact of arterial microcalcification of the vascular access on cardiovascular mortality in hemodialysis patients", Hemodial Int, 18, pp.54~61 (2014)
  47. Choi SJ, "Pre-existing arterial micro-calcification predicts primary unassisted arteriovenous fistula failure in incident hemodialysis patients", Semin Dial, 28, pp.665~669 (2015)
  48. Allon M, "Preoperative arterial microcalcification and clinical outcomes of arteriovenous fistulas for hemodialysis", Am J Kidney Dis, 66, pp.84~90 (2015)
  49. Wang N, "Radial artery calcification in end-stage renal disease patients is associated with deposition of osteopontin and diminished expression of alpha-smooth muscle actin", Nephrology (Carlton), 13, pp.367~375 (2008)
  50. Georgiadis GS, "Correlation of pre-existing radial artery macrocalcifications with late patency of primary radiocephalic fistulas in diabetic hemodialysis patients", J Vasc Surg, 60, pp.462~470 (2014)
  51. 김민근, "Tissue Doppler-derived E", e′ ratio as a parameter for assessing diastolic heart failure and as a predictor of mortality in patients with chronic kidney disease, 2013, pp.28(1), 35~44[DOI]
  52. Di Vito L, "Radial artery intima-media ratio predicts presence of coronary thin-cap fibroatheroma: a frequency domain-optical coherence tomography study", Int J Cardiol, 168, pp.1917~1922 (2013)
  53. London GM, "Arterial media calcification in end-stage renal disease: impact on all-cause and cardiovascular mortality", Nephrol Dial Transplant, 18, pp.1731~1740 (2003)
  54. Janda K, "Cardiovascular risk in chronic kidney disease patients: intima-media thickness predicts the incidence and severity of histologically assessed medial calcification in radial arteries", BMC Nephrol, 16, pp.78~ (2015)

관련 논문AI추천

Arteriovenous fistulas are associated with superior outcomes in very elderly hemodialysis patients: a nationwide cohort studyDo Hyoung Kim, Hoon Suk Park, Hyangkyoung Kim, Hyung Duk Kim, Hyung-Seok Lee, Seok Joon Shin, Seung Boo Yang대한내과학회 · The Korean Journal of Internal Medicine2026 · 제41권 제1호Association between initial vascular access and survival in hemodialysis according to age김수완, 김하연, 마성권, 배은희대한내과학회 · The Korean Journal of Internal Medicine2019 · 제34권 제4호Value of Doppler evaluation of physically abnormal fistula: hemodynamic guidelines and access outcomes조성, 김성록, 이유지대한내과학회 · The Korean Journal of Internal Medicine2019 · 제34권 제1호Administration of a High-Dose Erythropoietin-Stimulating Agent in Hemodialysis Patients is Associated with Late Arteriovenous Fistula Failure고은정, 김상훈, 양동호, 이미정, 이소영, 정혜윤, 조혜정연세대학교의과대학 · Yonsei Medical Journal2017 · 제58권 제4호혈액투석 유지 환자에서 혈청 인 수치와 동정맥루 기능부전의 상관관계김정현, 김형종, 이미정, 최승윤, 최유범대한내과학회 · 대한내과학회지2020 · 제95권 제1호Polymorphism in the promoter region of the klotho gene (G-395A) is associated with early dysfunction in vascular access in hemodialysis patients서장원, 오지은, 이영기, Eun Jung Kim, Hyung Jik Kim, Hyung Suk Lee, Ja-Ryong Koo, Jong Woo Yoon, Jung Woo Noh, Seung Ho Park, Sung Gyun Kim, Sun Joo Jeong, Young Rim Song, Youngsu Kim대한내과학회 · The Korean Journal of Internal Medicine2008 · 제23권 제4호

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