Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular

La prevalencia de la enfermedad renal crónica (ERC) ha venido en aumento a nivel mundial por lo que la población en hemodiálisis de mantenimiento también se está expandiendo. Las FAV son el acceso vascular “estándar de oro” para el tratamiento de hemodiálisis crónica debido a los menores riesgos de...

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Autores:
Rosales Rueda, Sergio Andrés
Tipo de recurso:
Fecha de publicación:
2024
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/23569
Acceso en línea:
http://hdl.handle.net/20.500.12749/23569
Palabra clave:
Medical sciences
Health sciences
Radiology
Diagnostic imaging
Arteriovenous fistula
Chronic kidney disease
Percutaneous transluminal angioplasty
Endovascular treatment
Renal diseases
Blood vessels
Arteriovenous anastomosis
Ciencias médicas
Radiología
Diagnóstico para imágenes
Enfermedades renales
Vasos sanguíneos
Anastomosis arteriovenosa
Ciencias de la salud
Fistula arteriovenosa
Enfermedad renal crónica
Angioplastia transluminal percutanea
Tratamiento endovascular
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dc.title.spa.fl_str_mv Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
dc.title.translated.spa.fl_str_mv Association between the time of arteriovenous fistula use in patients with chronic kidney disease and the success rate of endovascular management
title Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
spellingShingle Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
Medical sciences
Health sciences
Radiology
Diagnostic imaging
Arteriovenous fistula
Chronic kidney disease
Percutaneous transluminal angioplasty
Endovascular treatment
Renal diseases
Blood vessels
Arteriovenous anastomosis
Ciencias médicas
Radiología
Diagnóstico para imágenes
Enfermedades renales
Vasos sanguíneos
Anastomosis arteriovenosa
Ciencias de la salud
Fistula arteriovenosa
Enfermedad renal crónica
Angioplastia transluminal percutanea
Tratamiento endovascular
title_short Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
title_full Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
title_fullStr Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
title_full_unstemmed Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
title_sort Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular
dc.creator.fl_str_mv Rosales Rueda, Sergio Andrés
dc.contributor.advisor.none.fl_str_mv Vargas Pérez, Oliverio
Uribe Capputi, Juan Carlos
dc.contributor.author.none.fl_str_mv Rosales Rueda, Sergio Andrés
dc.contributor.cvlac.spa.fl_str_mv Vargas Pérez, Oliverio [0001765288]
dc.contributor.orcid.spa.fl_str_mv Vargas Pérez, Oliverio [0000-0003-3389-711X]
dc.contributor.apolounab.spa.fl_str_mv Vargas Pérez, Oliverio [oliverio-vargas-pérez]
dc.subject.keywords.spa.fl_str_mv Medical sciences
Health sciences
Radiology
Diagnostic imaging
Arteriovenous fistula
Chronic kidney disease
Percutaneous transluminal angioplasty
Endovascular treatment
Renal diseases
Blood vessels
Arteriovenous anastomosis
topic Medical sciences
Health sciences
Radiology
Diagnostic imaging
Arteriovenous fistula
Chronic kidney disease
Percutaneous transluminal angioplasty
Endovascular treatment
Renal diseases
Blood vessels
Arteriovenous anastomosis
Ciencias médicas
Radiología
Diagnóstico para imágenes
Enfermedades renales
Vasos sanguíneos
Anastomosis arteriovenosa
Ciencias de la salud
Fistula arteriovenosa
Enfermedad renal crónica
Angioplastia transluminal percutanea
Tratamiento endovascular
dc.subject.lemb.spa.fl_str_mv Ciencias médicas
Radiología
Diagnóstico para imágenes
Enfermedades renales
Vasos sanguíneos
Anastomosis arteriovenosa
dc.subject.proposal.spa.fl_str_mv Ciencias de la salud
Fistula arteriovenosa
Enfermedad renal crónica
Angioplastia transluminal percutanea
Tratamiento endovascular
description La prevalencia de la enfermedad renal crónica (ERC) ha venido en aumento a nivel mundial por lo que la población en hemodiálisis de mantenimiento también se está expandiendo. Las FAV son el acceso vascular “estándar de oro” para el tratamiento de hemodiálisis crónica debido a los menores riesgos de complicaciones asociadas con el uso a largo plazo en comparación con los injertos arteriovenosos. El estado funcional de la fístula arteriovenosa afecta directamente la eficiencia de la diálisis y la calidad de vida de los pacientes urémicos. Hasta 50 % de las fístulas pierden la permeabilidad durante el curso del tratamiento, y en la actualidad lla Angioplastia transluminal percutánea (ATP) se ha recomendado como tratamiento de primera línea para la estenosis y la oclusión del acceso vascular porque es segura, eficaz y mínimamente invasiva en comparación con la revisión quirúrgica En consecuencia, determinamos las tasas de permeabilidad postintervención y los factores que contribuyen al fracaso de la fístula después de la intervención para establecer la permeabilidad secundaria en pacientes con enfermedad renal crónica avanzada que presentaban síntomas de disfunción de la misma.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-02-21T16:46:34Z
dc.date.available.none.fl_str_mv 2024-02-21T16:46:34Z
dc.date.issued.none.fl_str_mv 2024-02-01
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv Tesis
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status_str acceptedVersion
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dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
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language spa
dc.relation.references.spa.fl_str_mv 1. Almasri J, Alsawas M, Mainou M, Mustafa RA, Wang Z, Woo K, et al. Outcomes of vascular access for hemodialysis: a systematic review and meta-analysis. J Vasc Surg 2016;64:236e43.
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dc.publisher.grantor.spa.fl_str_mv Universidad Autónoma de Bucaramanga UNAB
dc.publisher.faculty.spa.fl_str_mv Facultad Ciencias de la Salud
dc.publisher.program.spa.fl_str_mv Especialización en Radiología e Imágenes Diagnósticas
institution Universidad Autónoma de Bucaramanga - UNAB
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spelling Vargas Pérez, Oliverio74734b77-d680-4217-894f-0e87e2f3e63bUribe Capputi, Juan Carlos78f022e3-2fb0-4ac3-a745-f1d3fd652b91Rosales Rueda, Sergio Andrés532968b9-54ef-496c-ab06-80c101534265Vargas Pérez, Oliverio [0001765288]Vargas Pérez, Oliverio [0000-0003-3389-711X]Vargas Pérez, Oliverio [oliverio-vargas-pérez]Bucaramanga (Santander, Colombia)2018-2023UNAB Campus Bucaramanga2024-02-21T16:46:34Z2024-02-21T16:46:34Z2024-02-01http://hdl.handle.net/20.500.12749/23569instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coLa prevalencia de la enfermedad renal crónica (ERC) ha venido en aumento a nivel mundial por lo que la población en hemodiálisis de mantenimiento también se está expandiendo. Las FAV son el acceso vascular “estándar de oro” para el tratamiento de hemodiálisis crónica debido a los menores riesgos de complicaciones asociadas con el uso a largo plazo en comparación con los injertos arteriovenosos. El estado funcional de la fístula arteriovenosa afecta directamente la eficiencia de la diálisis y la calidad de vida de los pacientes urémicos. Hasta 50 % de las fístulas pierden la permeabilidad durante el curso del tratamiento, y en la actualidad lla Angioplastia transluminal percutánea (ATP) se ha recomendado como tratamiento de primera línea para la estenosis y la oclusión del acceso vascular porque es segura, eficaz y mínimamente invasiva en comparación con la revisión quirúrgica En consecuencia, determinamos las tasas de permeabilidad postintervención y los factores que contribuyen al fracaso de la fístula después de la intervención para establecer la permeabilidad secundaria en pacientes con enfermedad renal crónica avanzada que presentaban síntomas de disfunción de la misma.1. INTRODUCCIÓN 5 2. DESCRIPCIÓN DEL PROBLEMA 7 2.1 JUSTIFICACIÓN 7 3. MARCO TEÓRICO 9 3.1 CONTEXTO ENFERMEDAD RENAL CRÓNICA 9 3.2 ANATOMÍA Y FISIOLOGÍA DE FAV 9 3.3 FRACASO PRIMARIO DE LA FÍSTULA ARTERIOVENOSA 11 3.4 PREDICTORES DE FALLA PRIMARIA 12 3.5 PREVENCIÓN DE LA FALLA PRIMARIA DE LA FÍSTULA 13 3.6 MANEJO DE FALLA PRIMARIA 14 3.7 ESTENOSIS DEL ACCESO ARTERIOVENOSO ( VENA PERIFÉRICA) 15 3.8 TROMBOSIS DE ACCESO ARTERIOVENOSO 17 4. ESTADO DEL ARTE 21 5. OBJETIVOS 23 6. METODOLOGÍA 24 7. ALMACENAMIENTO ELECTRÓNICO DE LA INFORMACIÓN 26 8. DISPOSICIONES VIGENTES. 27 8.1 CONSIDERACIONES ÉTICAS. 27 8.2 PROTECCIÓN DE DATOS PERSONALES. 28 9. RECURSOS HUMANOS, MATERIALES Y FINANCIEROS 29 RECURSOS HUMANOS: 29 RECURSOS MATERIALES: 29 RECURSOS FINANCIEROS: 29 10. RESULTADOS 30 10.1 CARACTERÍSTICAS GENERALES DE LOS PACIENTES ESTUDIADOS 30 10.2 CARACTERÍSTICAS CLÍNICAS 30 10.3 CARACTERÍSTICAS RELACIONADAS CON LAS FISTULAS ARTERIOVENOSAS 31 10.4 RELACIONADAS CON LA INTERVENCIÓN 33 10.5 ANÁLISIS BIVARIADO 34 11. DISCUSIÓN 43 12. CONCLUSIÓN 47 13. BIBLIOGRAFÍA 48 ANEXOS 53 ANEXO 1. Tabla 1. Variables del estudio 53EspecializaciónThe prevalence of chronic kidney disease (CKD) has been increasing worldwide, so the population on maintenance hemodialysis is also expanding. AVFs are the “gold standard” vascular access for chronic hemodialysis treatment due to the lower risks of complications associated with long-term use compared to arteriovenous grafts. The functional status of the arteriovenous fistula directly affects the efficiency of dialysis and the quality of life of uremic patients. Up to 50% of fistulas lose patency during the course of treatment, and percutaneous transluminal angioplasty (PTA) has now been recommended as a first-line treatment for vascular access stenosis and occlusion because it is safe, effective, and minimally invasive compared to surgical revision Accordingly, we determined postintervention patency rates and factors contributing to fistula failure after intervention to establish secondary patency in patients with advanced chronic kidney disease who presented with symptoms of fistula dysfunction.Modalidad Presencialapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascularAssociation between the time of arteriovenous fistula use in patients with chronic kidney disease and the success rate of endovascular managementEspecialistas en Radiología e Imágenes DiagnósticasUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Radiología e Imágenes Diagnósticasinfo:eu-repo/semantics/masterThesisTesisinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/redcol/resource_type/TMMedical sciencesHealth sciencesRadiologyDiagnostic imagingArteriovenous fistulaChronic kidney diseasePercutaneous transluminal angioplastyEndovascular treatmentRenal diseasesBlood vesselsArteriovenous anastomosisCiencias médicasRadiologíaDiagnóstico para imágenesEnfermedades renalesVasos sanguíneosAnastomosis arteriovenosaCiencias de la saludFistula arteriovenosaEnfermedad renal crónicaAngioplastia transluminal percutaneaTratamiento endovascular1. 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Roy-Chaudhury P, Sukhatme VP, Cheung AK: Hemodialysis vascular access dysfunction: A cellular and molecular viewpoint. J Am Soc Nephrol 17: 1112–1127, 2006Nguyen B, Duong MC, Diem Tran HN, Do KQ, Nguyen KTT. Arteriovenous fistula creation by nephrologist and its outcomes: a prospective cohort study from Vietnam. BMC Nephrol. 2023 Apr 4;24(1):8870. So YH, Choi YH, Oh S, Jung IM. Thrombosed native hemodialysis fistulas : Technical and clinical outcomes of endovascular recanalization and. 2019;https://apolo.unab.edu.co/en/persons/oliverio-vargas-p%C3%A9rezLICENSElicense.txtlicense.txttext/plain; charset=utf-8829https://repository.unab.edu.co/bitstream/20.500.12749/23569/4/license.txt3755c0cfdb77e29f2b9125d7a45dd316MD54open accessORIGINALTesis.pdfTesis.pdfTesisapplication/pdf930339https://repository.unab.edu.co/bitstream/20.500.12749/23569/5/Tesis.pdf7567e5fa0766936a6e977aa58d57e13eMD55open accessLicencia.pdfLicencia.pdfLicenciaapplication/pdf286011https://repository.unab.edu.co/bitstream/20.500.12749/23569/6/Licencia.pdf3a6f82e274ed99acc4cc90d65df37f11MD56metadata only accessTHUMBNAILTesis.pdf.jpgTesis.pdf.jpgIM Thumbnailimage/jpeg6058https://repository.unab.edu.co/bitstream/20.500.12749/23569/7/Tesis.pdf.jpgafa09811b467223fc0888fcda2c0b482MD57open accessLicencia.pdf.jpgLicencia.pdf.jpgIM Thumbnailimage/jpeg12840https://repository.unab.edu.co/bitstream/20.500.12749/23569/8/Licencia.pdf.jpg2b9a8ed7653082a5334726f1fee4c968MD58metadata only access20.500.12749/23569oai:repository.unab.edu.co:20.500.12749/235692024-02-21 22:00:56.878open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.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