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과거 동정맥루 수술경력이 새로운 동정맥루의 개존율에 미치는 영향
DC Field | Value | Language |
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dc.contributor.author | 김명수 | - |
dc.date.accessioned | 2015-07-15T16:40:53Z | - |
dc.date.available | 2015-07-15T16:40:53Z | - |
dc.date.issued | 2003 | - |
dc.identifier.issn | 1226-0053 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/113384 | - |
dc.description.abstract | Purpose: We designed this study to find out the risk factors affecting the patency rate after creation of an arteriovenous fistula (AVF) for hemodialysis. Methods: Between March 1997 and December 2001, a total of 397 AVF operations in 314 patients were performed by a single surgeon using the same surgical technique and principles. One hundred and forty cases (35.3%) were reoperations due to previous AVF failure. Artificial vessels (=PTFE, polytetrafluoroethylene) were used for the AVF in 39 cases (9.8%). The sex, age, diabetes mellitus, previous operation history and type of dialysis center were considered as a possible risk factors affecting the patency rate. Results: After a mean follow-up of 18.3 months, there were 63 cases of patient death, 15 of kidney transplantation, and 104 of AVF failure identified. The overall patency rates of 1, 2 and 3 year were 76.2, 70.9, and 66.9%, respectively. From the multivariate analysis, the previous operation history was the only significant factor affecting the patency rate of AVF (P=0.001, odd ratio=2.58). Although the diabetic patient (odd ratio=1.43) and artificial vessel groups (odd ratio=1.678) showed high odd ratios, these factors were not statistically significant (P>0.05). From the univariate analysis, the reoperation cases also showed a significantly inferior patency rate compared to the first operation cases (1 year patency rate was 65.2% and 83.7%, P=0.001). However, the diabetes and types of vessel showed no significant differences in patency rates. Conclusion: A reoperation of an AVF creation was the most significant risk factor affecting the patency rate after its original creation. The first attempt AVF creations showed-favorable patency rates. To improve the overall patency rate of an AVF creation, a more delicate preoperative study and accurate surgical technique will be required at the time of the first AVF operation. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.publisher | 대한외과학회 | - |
dc.relation.isPartOf | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Arteriovenous fistula (AVF) | - |
dc.subject.MESH | Patency rate | - |
dc.subject.MESH | Reoperation | - |
dc.subject.MESH | 동정맥루 | - |
dc.subject.MESH | 개존율 | - |
dc.subject.MESH | 재수술 | - |
dc.title | 과거 동정맥루 수술경력이 새로운 동정맥루의 개존율에 미치는 영향 | - |
dc.title.alternative | The Effect of Reoperation on the Patency Rate of Arteriovenous Fistula for Hemodialysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 주영근 | - |
dc.contributor.googleauthor | 김명수 | - |
dc.contributor.googleauthor | 이재명 | - |
dc.contributor.googleauthor | 최승옥 | - |
dc.contributor.googleauthor | 한병근 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00424 | - |
dc.relation.journalcode | J01893 | - |
dc.subject.keyword | Arteriovenous fistula (AVF) | - |
dc.subject.keyword | Patency rate | - |
dc.subject.keyword | Reoperation | - |
dc.subject.keyword | 동정맥루 | - |
dc.subject.keyword | 개존율 | - |
dc.subject.keyword | 재수술 | - |
dc.contributor.alternativeName | Kim, Myoung Soo | - |
dc.contributor.affiliatedAuthor | Kim, Myoung Soo | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 64 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 243 | - |
dc.citation.endPage | 250 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE KOREAN SURGICAL SOCIETY, Vol.64(3) : 243-250, 2003 | - |
dc.identifier.rimsid | 49220 | - |
dc.type.rims | ART | - |
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