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Red blood cell distribution width is associated with early failure of arteriovenous fistula for haemodialysis access

Memetoğlu, Mehmet E.; Kehlіbar, Tamer; Yilmaz, Mehmet; Kocaaslan, Cemal; Günay, Rafet; Arslan, İsmail Yücesin; Ketencі, Bülend; Demіrtas, Mahmut M.

Blood Coagulation & Fibrinolysis: January 2015 - Volume 26 - Issue 1 - p 32–35
doi: 10.1097/MBC.0000000000000142
ORIGINAL ARTICLES

This study aimed to investigate the predictive value of red blood cell distribution width (RDW) for early failure of arteriovenous fistula (AVF) for haemodialysis access. The hospital records of those patients who underwent primary AVF creation procedures for haemodialysis between December 2010 and September 2013 were included for retrospective analysis. Of 313 patients, 195 (62%) were male and 118 (38%) were female. Mean age was 60 (range 17–90) years. Of the 313 AVF procedures performed, 229 (73%) were created at forearm (radial artery–cephalic vein), and 84 (27%) were created upperarm (antecubital, brachiocephalic, or brachiobasilic procedures). Early AVF failure was found in 61 (19%) patients. According to chi-square test, the incidence of early AVF failure was higher in patients with heart failure and peripheral artery disease (P < 0.001). According to Mann–Whitney U test, the RDW (P = 0.001) and C-reactive protein (P = 0.024) values were higher in patients with early AVF. Our data showed that preoperative RDW is a reliable parameter that can be useful in predicting the early failure of AVF.

Department of Cardiovascular Surgery, Dr Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, İstanbul, Turkey

Correspondence to Mehmet Erdem Memetoğlu, MD, Department of Cardiovascular Surgery, Dr Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, İstanbul 34000, Turkey Tel: +90 0216 542 44 44; fax: +90 0216 348 93 25; e-mail: dr.m.erdem07@hotmail.com

Received 12 December, 2013

Revised 1 March, 2014

Accepted 3 April, 2014

Copyright © 2015 YEAR Wolters Kluwer Health, Inc. All rights reserved.