A prospective study of factors associated with successful maturation of arteriovenous fistulas for hemodialysis
Nadia Elizabeth Saavedra Fuentes
Orcid profile, Juan Reyna Blanco
Orcid profile, Gloria Queipo Garcia
Orcid profile, Monserrat Perez Navarro
Orcid profile, Claudia Lerma Gonzalez
Orcid profile and Rafael Valdez-Ortiz
Orcid profile 
Article Category: Research Paper
Published Online: Nov 30, 2024
Page range: 1 - 7
Received: Jan 22, 2024
Accepted: Jul 15, 2024
DOI: https://doi.org/10.15557/jou.2024.0030
Keywords
© 2024 Nadia Elizabeth Saavedra Fuentes et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Aim
Our objective was to determine the factors associated with the successful maturation of arteriovenous fistulas during hemodialysis.
Material and methods
This prospective study included patients treated with hemodialysis and predialysis patients. Clinical, biochemical, sociodemographic, vascular ultrasound mapping, flow-mediated dilatation, and surgical factors were analyzed. Success in the maturation process was defined by ultrasonographic criteria at six weeks.
Results
Thirty-seven patients were included. With a mean ± standard deviation age of 40 ± 14 years, 73% were male, 65% had type-2 diabetes mellitus, and 95% had hypertension. Arteriovenous fistulas were brachycephalic in 18 patients (49%), brachymedian in nine patients (24%), brachycommunicating posterior in five patients (14%), brachibasal in three patients (8%), radiocephalic in two patients (8%), and radiocephalic in two patients (5%). Fourteen percent of patients had unsuccessful maturation. The vein diameter was 4.3 ± 1.0 mm (maturation group) vs 3.2 ± 0.9 mm (non-maturation group),
Conclusions
It is highly important to plan vascular access in patients to perform vascular mapping and measure veins and arteries in patients. Vein measurement is a significant factor in successful maturation of the arteriovenous fistulas.