인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis in end-stage renal disease. Steal syndrome, a complication causing limb ischemia, may follow AVF implantation. This study evaluated whether postoperative wrist-brachial index (WBI) changes predict steal syndrome, including severe cases requiring intervention. In a prospective study, patients undergoing first-time AVF implantation in 2022 were enrolled. WBI was measured preoperatively, immediately postoperatively, at 2 weeks, and at 3 months. Steal syndrome symptoms (pain, pallor, coldness, numbness, and paresthesia) were assessed at follow-ups. Data were analyzed using the Shapiro-Wilk, <i>t</i> test, and Mann-Whitney <i>U</i> tests (<i>P</i> < .05). Of 59 patients (31 men, 28 women; mean age, 56.9 ± 12.6 years), 23 (39%) had temporary steal syndrome, 16 (27.1%) had prolonged steal syndrome, and 3 (5.1%) required vascular reconstruction for severe ischemia. Immediate postoperative WBI changes (mean of 64.05% in severe cases vs 22.10% overall) were significantly associated with steal syndrome (<i>P</i> = .02), including severe cases (<i>P</i> = .03). Associations at 2 weeks (<i>P</i> = .14) and 3 months (<i>P</i> = .11) were not significant. WBI changes correlated with hypertension and smoking but not age, sex, dialysis duration, diabetes, or body mass index. Immediate postoperative WBI changes reliably predict steal syndrome, including severe cases, after AVF implantation. Close monitoring is essential for patients with significant WBI reductions.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
최근 본 자료 전체보기
