Changes in Cardiac Structure and Function After Establishment of Autologous Arteriovenous Fistula
NCT ID: NCT06199609
Last Updated: 2024-01-10
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
2027 participants
OBSERVATIONAL
2022-09-01
2023-11-30
Brief Summary
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Detailed Description
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2. Collect general clinical data (gender, age, primary disease, history, etc.), echocardiography (atrioventricular diameter, wall thickness, left ventricular ejection fraction, pulmonary artery pressure, etc.), and biochemical indicators (albumin, total bilirubin, alanine aminotransferase, aspartate aminotransferase, blood urea nitrogen, blood creatinine, blood calcium, blood phosphorus, hemoglobin, etc.) of AVF patients, Analyze the changes in the structure of the heart, especially the left atrium, before and after the establishment of AVF, and use binary logistic regression to analyze the risk factors for new onset atrial fibrillation after AVF surgery;
3. According to whether new atrial fibrillation occurred after AVF surgery, patients were divided into atrial fibrillation group and non atrial fibrillation group. The occurrence of adverse clinical outcomes was followed up, and the Kaplan Meier survival curve was used to analyze the impact of atrial fibrillation on patient adverse clinical outcomes. Cox regression analysis was used to explore independent risk factors for adverse clinical outcomes.
Follow up: Follow up will be conducted by a dedicated doctor from the establishment of AVF to August 31, 2023. The main endpoint events are defined as all-cause death and cardiogenic death, while the secondary endpoint events are readmission due to heart failure and stroke; During the follow-up period, patients who underwent kidney transplantation, changed dialysis methods, and did not experience endpoint events at the end of the follow-up were defined as missing data.
Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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AVF group and TCC group
AVF and TCC are two different hemodialysis pathways
Hemodialysis pathway
AVF and TCC are two different vascular pathways for hemodialysis
Before AVF establishment and After AVF establishment
Evaluate and analyze the changes in cardiac structure and function before and after the establishment of AVF;
AVF
Left atrial changes caused by AVF establishment
Left atrial enlargement group and Left atrial normal group
Patients in the AVF group are divided into a left atrial enlargement group and a left atrial normal group based on whether the left atrium has expanded after the establishment of AVF
AVF
Left atrial changes caused by AVF establishment
Atrial fibrillation group and Non atrial fibrillation group
Divide AVF group patients into atrial fibrillation group and non atrial fibrillation group based on whether new atrial fibrillation occurs after AVF establishment
AVF
New onset atrial fibrillation caused by AVF establishment
Interventions
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Hemodialysis pathway
AVF and TCC are two different vascular pathways for hemodialysis
AVF
Left atrial changes caused by AVF establishment
AVF
New onset atrial fibrillation caused by AVF establishment
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Haiyan Wang
OTHER
Responsible Party
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Haiyan Wang
Director of Cardiac Ultrasound
Locations
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The First Affiliated Hospital of Shandong First Medical University
Jinan, Shandong, China
Countries
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References
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Song W, Wu L, Sun C, Kong X, Wang H. New-onset atrial fibrillation following arteriovenous fistula increases adverse clinical events in dialysis patients with end-stage renal disease. Front Cardiovasc Med. 2024 Apr 12;11:1386304. doi: 10.3389/fcvm.2024.1386304. eCollection 2024.
Other Identifiers
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YXLL-KY-2023(130)
Identifier Type: -
Identifier Source: org_study_id
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