FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377223602> ?p ?o ?g. }

• W4377223602 endingPage "e315" @default.
• W4377223602 startingPage "e315" @default.
• W4377223602 abstract "Venodilation following anesthesia for arteriovenous fistula (AVF) creation may alter a preoperative surgical plan based upon elective vein mapping. This study evaluates the effect of changed plans on AVF maturation and functional patency. All outpatient AVFs constructed in 2016 to 2019 were retrospectively reviewed. All patients had ultrasound by surgeon intraoperatively. Patients were excluded if there was no preoperative vein mapping or documented preoperative surgical plan. Patients were divided into two groups: AVF conducted as planned or the preoperative plan was altered after the intraoperative mapping, resulting in a more preferred AV access. Primary outcomes were maturation and functional patency. We included 245 patients, with 176 patients (72%) experiencing no change and 69 patients (28%) with a positive change. Median follow-up time was 39 months. Demographics and comorbidities did not differ between the two groups. There was positive change in 44%/53%/6% of the general/regional/local anesthesia groups (n = 69). In those with positive change, 42 (61%) received an AVF instead of a graft, 15 (22%) received cephalic AVF instead of basilic AVF, and 12 (17%) received forearm instead of upper arm cephalic AVF. Maturation rate was 89% (157/176) in those with no change and 70% (49/69) following positive change (P < .001). Mean maturation time was shorter in the no change group (61 vs 79 days; P = .051). Functional patency for matured AVFs did not differ between the no change and positive change groups (P = .408) (Fig 1). In those with positive change, mean preoperative vein size was 2.0 mm, and did not differ between those which matured and failed (P = .860). Factors associated with lower maturation rate in patients with a positive change were use of regional anesthesia (P = .021) and creation of a brachiocephalic (P = .026) or radiocephalic AVF (P = .006) (Fig 2), while general anesthesia (P = .601) and brachiobasilic AVF creation (P = .239) were not associated with lower maturation. Intraoperative vein mapping results in a high rate of change in surgical plan not supported by preoperative vein mapping. Accesses created as a result of these changes have acceptable maturation and excellent patency. These data demonstrate that preoperative vein mapping misses significant opportunity for AVF creation that is apparent only with intraoperative ultrasound. Effort for intraoperative surgeon-performed vein mapping with ultrasound should be added to RVU assignment for AV access creation codes.Fig 2Maturation rate by change in operative plan, anesthesia modality, and fistula type. Br, basilic, brachiobasilic; Br-Br, brachiobrachial; Br-Ceph, brachiocephalic; Rad-Ceph, radiocephalic.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
• W4377223602 created "2023-05-23" @default.
• W4377223602 creator A5006966542 @default.
• W4377223602 creator A5011975373 @default.
• W4377223602 creator A5045266829 @default.
• W4377223602 creator A5045727988 @default.
• W4377223602 creator A5047015904 @default.
• W4377223602 creator A5053049980 @default.
• W4377223602 creator A5057329469 @default.
• W4377223602 date "2023-06-01" @default.
• W4377223602 modified "2023-10-16" @default.
• W4377223602 title "Intraoperative Ultrasound Results in High Rate of Change in Surgical Plan, Yielding More Favorable Access Creation Not Predicted by Preoperative Vein Mapping" @default.
• W4377223602 doi "https://doi.org/10.1016/j.jvs.2023.03.435" @default.
• W4377223602 hasPublicationYear "2023" @default.
• W4377223602 type Work @default.
• W4377223602 citedByCount "0" @default.
• W4377223602 crossrefType "journal-article" @default.
• W4377223602 hasAuthorship W4377223602A5006966542 @default.
• W4377223602 hasAuthorship W4377223602A5011975373 @default.
• W4377223602 hasAuthorship W4377223602A5045266829 @default.
• W4377223602 hasAuthorship W4377223602A5045727988 @default.
• W4377223602 hasAuthorship W4377223602A5047015904 @default.
• W4377223602 hasAuthorship W4377223602A5053049980 @default.
• W4377223602 hasAuthorship W4377223602A5057329469 @default.
• W4377223602 hasBestOaLocation W43772236021 @default.
• W4377223602 hasConcept C126838900 @default.
• W4377223602 hasConcept C141071460 @default.
• W4377223602 hasConcept C143753070 @default.
• W4377223602 hasConcept C144024400 @default.
• W4377223602 hasConcept C149923435 @default.
• W4377223602 hasConcept C2776341189 @default.
• W4377223602 hasConcept C2776943423 @default.
• W4377223602 hasConcept C2777202286 @default.
• W4377223602 hasConcept C2779063477 @default.
• W4377223602 hasConcept C2780084366 @default.
• W4377223602 hasConcept C2780214079 @default.
• W4377223602 hasConcept C2910396648 @default.
• W4377223602 hasConcept C71924100 @default.
• W4377223602 hasConceptScore W4377223602C126838900 @default.
• W4377223602 hasConceptScore W4377223602C141071460 @default.
• W4377223602 hasConceptScore W4377223602C143753070 @default.
• W4377223602 hasConceptScore W4377223602C144024400 @default.
• W4377223602 hasConceptScore W4377223602C149923435 @default.
• W4377223602 hasConceptScore W4377223602C2776341189 @default.
• W4377223602 hasConceptScore W4377223602C2776943423 @default.
• W4377223602 hasConceptScore W4377223602C2777202286 @default.
• W4377223602 hasConceptScore W4377223602C2779063477 @default.
• W4377223602 hasConceptScore W4377223602C2780084366 @default.
• W4377223602 hasConceptScore W4377223602C2780214079 @default.
• W4377223602 hasConceptScore W4377223602C2910396648 @default.
• W4377223602 hasConceptScore W4377223602C71924100 @default.
• W4377223602 hasIssue "6" @default.
• W4377223602 hasLocation W43772236021 @default.
• W4377223602 hasOpenAccess W4377223602 @default.
• W4377223602 hasPrimaryLocation W43772236021 @default.
• W4377223602 hasRelatedWork W149663914 @default.
• W4377223602 hasRelatedWork W1988102946 @default.
• W4377223602 hasRelatedWork W2067234381 @default.
• W4377223602 hasRelatedWork W2137514707 @default.
• W4377223602 hasRelatedWork W2551918176 @default.
• W4377223602 hasRelatedWork W2569486175 @default.
• W4377223602 hasRelatedWork W2974681532 @default.
• W4377223602 hasRelatedWork W2996850966 @default.
• W4377223602 hasRelatedWork W4282945465 @default.
• W4377223602 hasRelatedWork W2102167427 @default.
• W4377223602 hasVolume "77" @default.
• W4377223602 isParatext "false" @default.
• W4377223602 isRetracted "false" @default.
• W4377223602 workType "article" @default.