The effect of preprocedural serum albumin to fibrinogen ratio on arteriovenous fistula maturation

• Main Authors: Engin Akgül, Abdülkerim Özhan
• Format: Article
• Language: English
• Published: Journal of Surgery and Medicine 2021-03-01
• Series: Journal of Surgery and Medicine
• Subjects: arteriovenous fistula; albumin; fibrinogen; av fistula; nlr; neutrophil to lymphocite ratio
• Online Access: https://dergipark.org.tr/en/pub/josam/issue/60662/892997

Background/Aim: Inflammation and inflammatory parameters are known to have unfavorable effects both on the surgical success and survival. The reference point of the present study are the results of an investigation of the effects of blood proteins such as albumin and fibrinogen, which affect blood viscosity, and other hematological parameters, on the success of arteriovenous fistula operations. Methods: This retrospective cohort study includes the data of 135 patients who underwent arteriovenous fistula surgery by the same surgeon in the same center. The patients were divided into two groups, as those with an active fistula 8–12 weeks after surgery and those with a dysfunctional fistula. After applying the exclusion criteria, the remaining data were compared using appropriate statistical methods to evaluate the influence on fistula maturation rates. Results: A statistical analysis performed after the evaluation of the fitness of the data to a normal distribution revealed fistula maturation to be associated with fibrinogen (P