Endovascular treatment for immature autogenous arteriovenous fistula

Han, Miran; Kim, J.D.; Bae, Jae Ik; Lee, J.H.; Oh, Chang‐Keun; Ahn, Chi‐Hyung; Won, Jong Uk

doi:10.1016/j.crad.2013.01.005

Cited by 22 publications

(21 citation statements)

References 20 publications

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“…Age has been described as an important factor influencing the AVF patency in several studies, [ 5 , 17 , 21 ] but, no significance was observed in our study. On the contrary, patients more than 65 years of age showed longer secondary patency, but this is not concluded with statistical significance in our study.…”

Section: Discussioncontrasting

confidence: 93%

Endovascular management in immature arteriovenous fistula for hemodialysis

et al. 2018

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To evaluate the outcomes and prognostic factors of endovascular management in immature arteriovenous fistula (AVF) for hemodialysis.From April 2007 to September 2017, 54 patients (male:female = 31:23, mean age 65.63 years, range 33–90 years) who underwent endovascular management for the salvage of immature AVF were retrospectively reviewed. Clinical data, procedural details, and results were evaluated. Primary and secondary patency rates and factors influencing the patency were also analyzed.Technical and clinical success rates were 88.9% (48/54) and 85.2% (46/54), respectively. Mean primary and secondary patency was 42.10 (±8.85) and 91.5 (±14.77) months, respectively. Primary and secondary patency rates were 66% and 89% in 1 year, 66% and 78% in 2 years, and 51% and 78% in 3 years. In multivariate analysis, only brachiocephalic AVF and antegrade access procedures showed significantly shorter primary patency (HR 5.196; 95% CI (1.04–25.77); P = .044, HR 8.096; 95% CI (1.36–48.00); P = .021). There was no statistically significant factor associated with secondary patency in the multivariate study.Endovascular management in immature AVF is safe and effective to make the AVF available. Brachiocephalic AVF and antegrade access procedures are the factors influencing the patency in multivariate analysis.

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Section: Discussioncontrasting

confidence: 93%

Endovascular management in immature arteriovenous fistula for hemodialysis

et al. 2018

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“…After the passage of a 0.014 or 0.018 inch micro-guide wire, a 2.5 - 5.0 mm balloon catheter (Powercross TM; Covidien Corp., Plymouth, MN, USA) was advanced and inflated up to 14 mmHg at the site of the stenosis for one to five minutes after routine injection of 3,000 - 5,000 IU of heparin ( 8 ). The strategy for selecting balloon size was to select one with the same diameter or one 0.5 mm in diameter smaller than the diameter of the normal portion of the cephalic vein.…”

Section: Methodsmentioning

confidence: 99%

“…Stenosis was defined as a ≥ 50% reduction in the luminal diameter. A thrombus was defined as an echogenic mass of blood clots within the vascular lumen on Doppler US and a filling defect within the lumen surrounded by contrast material on sPTA ( 8 ). A significant accessory vein was defined as a venous channel originating from the main trunk of the fistula, similar in size to the main trunk, and reducing the flow through the main trunk of the fistula ( 9 ).…”

Section: Methodsmentioning

confidence: 99%

Predicting Factors for Successful Maturation of Autogenous Haemodialysis Fistulas After Salvage Percutaneous Transluminal Angioplasty in Diabetic Nephropathy: A Study on Follow-Up Doppler Ultrasonography

Jeon

Cho

et al. 2016

Iran J Radiol

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Background:Maturation failure of autogenous arteriovenous fistula (aAVF) has been increasing after surgical procedures and the salvage percutaneous transluminal angioplasty (sPTA) for immature aAVF has been identified as an effective treatment modality.Objectives:The aim of this study was to identify factors predicting successful aAVF maturation and to determine positive technical aspects of sPTA.Patients and Methods:We retrospectively reviewed medical records and radiological images of 59 patients who had undergone sPTA for non-maturing aAVFs. We analysed images from pre-surgical mapping Doppler ultrasonography, angiography, and angioplasty and follow-up Doppler ultrasonography performed within two weeks after sPTA. We assessed the following factors, for their ability to predict successful aAVF maturation: 1) patient factors (age; sex; co-morbidities; and aAVF age, side and type); 2) vessel factors (cephalic vein diameter and depth, presence of accessory veins, and pre- and postoperative radial artery disease); 3) lesion factors (stenosis number, location and severity); and 4) technical factors (presence of residual stenosis and anatomic success ratio (ASR) on follow-up Doppler ultrasonography).Results:The technical and clinical success rates were both 94.9% (56/59); the mean ASR was 0.84. An ASR of ≥ 0.7 and no significant residual stenosis (< 30%) (both P < 0.001) on two-week follow-up Doppler ultrasonography predicted successful aAVF maturation.Conclusion:For more precise prediction of successful aAVF maturation after sPTA, short-term follow-up Doppler ultrasonography (< 2 weeks) was useful. If the ASR was < 0.7 or if residual stenosis was ≥ 30%, immediate repeat sPTA is recommended.

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“…Clinical Success and Patency Rates for Management of Nonmaturing Arteriovenous Fistulae(49,99,107,125,(155)(156)(157) …”

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confidence: 99%

Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit

Dariushnia

Walker

Silberzweig

et al. 2016

Journal of Vascular and Interventional Radiology

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AR = access recirculation, AVF = arteriovenous fistula, AVG = arteriovenous graft, DHIS = distal hypoperfusion ischemia syndrome, KDOQI = Kidney Disease Outcomes Quality Initiative, NKF = National Kidney Foundation, Qa = blood access flow rate PREAMBLE The membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and the academic sectors of medicine. Generally, Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such, they represent a valid broad expert constituency of the subject matter under consideration for standards production. Technical documents specifying the exact consensus and literature review methodologies as well as the institutional affiliations and professional credentials of the authors of this document are available upon request from SIR, 3975 Fair Ridge Dr, Ste 400 North, Fairfax, VA 22033. METHODOLOGY SIR produces its Standards of Practice documents using the following process. Standards documents of relevance and timeliness are conceptualized by the Standards of Practice Committee members. A recognized expert is identified to serve as the principal author for the standard. Additional authors may be assigned depending on the magnitude of the project. An in-depth literature search is performed using electronic medical literature databases. Then a critical review of peer-reviewed articles is performed with regard to the study methodology, results, and conclusions. The qualitative weight of these articles is assembled into an evidence table, which is used to write the document such that it contains evidence-based data with respect to content, rates, and thresholds. When the evidence of literature is weak, conflicting, or contradictory, consensus for the parameter is reached by a minimum of 12 Standards of Practice Committee members using a Modified Delphi Consensus Method (Appendix A). For purposes of these documents, consensus is defined as 80% Delphi participant agreement on a value or parameter. The draft document is critically reviewed by the Revisions Subcommittee members of the Standards of Practice Committee, either by telephone conference calling or by face-to-face meeting. The finalized draft from the Committee is sent to the SIR membership for further input or criticism during a 30-day comment period. These comments are discussed by the Subcommittee, and appropriate revisions are made to create the finished standards document. Before its publication, the document is endorsed by the SIR Executive Council.

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Endovascular treatment for immature autogenous arteriovenous fistula

Cited by 22 publications

References 20 publications

Endovascular management in immature arteriovenous fistula for hemodialysis

Endovascular management in immature arteriovenous fistula for hemodialysis

Predicting Factors for Successful Maturation of Autogenous Haemodialysis Fistulas After Salvage Percutaneous Transluminal Angioplasty in Diabetic Nephropathy: A Study on Follow-Up Doppler Ultrasonography

Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit

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