Lower-extremity Arteriovenous Access for Haemodialysis: A Systematic Review

Antoniou, George Α.; Lazarides, Miltos K.; Georgiadis, G S; Sfyroeras, George S.; Nikolopoulos, Evagelos S.; Giannoukas, A.

doi:10.1016/j.ejvs.2009.06.003

Cited by 109 publications

(103 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Antoniou ve ark. 'larının yaptıkları çalışmada 62 hastalık SV halka greft serilerinde 12 aylık izlem boyunca %20 tromboz oranı bildirmiştir (29). Çalışmamızda ise SV greft grubunda %15 tromboz oranı görülmüştür.…”

Section: Discussionunclassified

See 1 more Smart Citation

Saphenous Vein or Basilic Vein Transposition in Hemodialysis Patients?

Odabaşı¹,

Arı²,

Ekim³

2011

Turk Neph Dial Transpl

View full text Add to dashboard Cite

ÖZAMAç: Safen ven (SV) greft ve basilik ven transpozisyonu (BVT) ile ikincil arteriyo-venöz fistül (AVF) oluşturulması hemodiyaliz (HD) için damar giriş yolu oluşturulmasında iyi bir seçenek oluştururlar. Eş zamanlı olarak ikincil AVF oluşturulmuş hasta serileri açık kalım ve komplikasyon oranları yönünden gözden geçirildi. GErEÇ ve YÖNTEMlEr:Ocak 2006 ile ocak 2010 tarihleri arasında 40 ikincil HD erişim işlemi ardışık 40 hastada uygulandı. Tüm erişim girişimleri kol ve önkolun operasyon öncesi dubleks ultrasonografi (USG) taramalarının ardından gerçekleştirilmiştir. İşlevsel açıklık hastada başarılı bir şekilde HD yapılabilmesi olarak tanımlanmıştır. SV greft ve BVT birincil ve ikincil olarak ve işlevsel açıklığın sağlanması "Kaplan Meier" yöntemi ile, açık kalma oranları arasındaki farklar Log-Rank testi ile, tomboliz, trombektomi ve operasyonel gözden geçirme gibi gözden geçirme oranları arasındaki farklar Z testi ve Fisher Exact T testi ile belirlenmiştir.BUlGUlAr: Ortalama izlem süresi 48 ay idi ( 43-54 ay). Her iki grubun risk faktörleri benzer idi. SV greft grubu ve BVT için açık kalım oranları arasında fark yoktu. HD giriş komplikasyonları SV greft grubunda daha fazla idi.SoNUÇ: Üst ekstremitesinde ikincil AVF açılması gereken hastalarda anatomik ölçütlere bağlı olarak bulgularımızdan kuvvetle çıkan önerme bazilik ven transpozisyonu safen ven greftinden önce düşünülebilir.AnAhtAR SÖZCÜkleR: Hemodiyaliz, Safen ven greft, Basilik ven transpozisyonu, Arteriyovenöz fistül ABStRACt oBjECTıVE: Secondary arteriovenous fistula (AVF) management with saphenous vein (SV) graft and basilic vein transposition (BVT) in HD-dependent patients are good alternatives. A concurrent series of patients was reviewed to evaluate the patency and complication rates after AVF formation. MATErıAl and MethoDS:From January 2006 to January 2010, 40 secondary HD access procedures were performed in 40 consecutive patients. All access procedures were planned on the basis of preoperative duplex ultrasonography (USG) scans of arm and forearm veins. Functional patency was defined as the ability to cannulate the patient for HD successfully. Primary and secondary cumulative functional patency of SV grafts and BVT's were determined with the Kaplan Meier test, differences were analyzed with Log Rank test, and differences in revision rates including thrombolysis thrombectomies and operative revisions were analyzed with the Z test and the Fisher exact T test. rESUlTS: Mean follow up was 48 months (range 43-54 months). Risk factors were similar between the two groups. SV group and BVT group had similar patency ratings. The HD access complication rates were higher in the SV group. CoNClUSıoN: Our data strongly support the notion that the BVT must always be considered before an SV graft as long as the patient is a candidate for an upper arm secondary AVF creation based on anatomical criteria.

show abstract

Section: Discussionunclassified

“…Antoniou ve ark. 'larının yaptıkları çalışmada 62 hastalık SV halka greft serilerinde 12 aylık izlem boyunca 12 (%20) hastada çalma sendromu oranı bildirmiştir (29). Bu sonuçlara göre BVT grubunda SV greft grubuna göre bizim çalışmamızda da çalma sendromu istatistiksel anlamda yüksek oranda gözlenmektedir (p<0,01).…”

Section: Discussionunclassified

Saphenous Vein or Basilic Vein Transposition in Hemodialysis Patients?

Odabaşı¹,

Arı²,

Ekim³

2011

Turk Neph Dial Transpl

View full text Add to dashboard Cite

show abstract

“…If there is no suitable superficial vein, prosthetic AV fistula or brachiobasilic AV fistula with basilic vein transposition are required (23,24). However, if the upper limb use is not appropriate, axillary-axillary AV access (necklace graft) (25), superficial femoral vein transposition (26), axillary artery to right atrial graft (27), hemodialysis reliable outflow graft (28), and femoral AV graft could be used as alternative choices for vascular access (19)(20)(21). Autogenous AV fistula or graft AV fistula are available for femoral AV access, although the former is not preferred because of wide incision and associated complications (19,29,30).…”

Section: Discussionmentioning

confidence: 99%

“…In general, radiocephalic AV fistula is the first vascular access, followed by brachiocephalic AV fistula (19)(20)(21)(22). If there is no suitable superficial vein, prosthetic AV fistula or brachiobasilic AV fistula with basilic vein transposition are required (23,24).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous transluminal angioplasty for dysfunctional femoral hemodialysis graft

Kim²,

Goo³

et al. 2015

Diagn Interv Radiol

View full text Add to dashboard Cite

ORIGINAL ARTICLE PURPOSE We aimed to evaluate the safety and effectiveness of percutaneous transluminal angioplasty (PTA) for dysfunctional femoral arteriovenous graft and analyze clinical or anatomic predictors of graft patency. METHODSThe records of 45 patients who underwent PTA or thromboaspiration for dysfunctional or thrombosed femoral arteriovenous graft from 2005 to 2012 were reviewed retrospectively. Primary and secondary patency rates were determined at three, six, and 12 months after PTA. The primary patency rate was analyzed according to the presence of diabetes mellitus, graft age from the time of creation to the first intervention (<12 months or ≥12 months), presence of thrombus, shape of graft (U-shape vs. straight-shape), anastomosis type of graft (femoral-femoral vs. femoral-saphenous), location of stenosis (central vs. peripheral), length of stenosis (<2 cm vs. ≥2 cm), degree of stenosis severity (<70% vs. ≥70%), and stent insertion. RESULTSA total of 124 PTAs were performed in 45 patients. The primary patency rate at three, six, and 12 months was 84.8%, 63.6%, and 24.2%, respectively. The secondary patency rate at three, six, and 12 months was 95.2%, 95.2%, and 85.7%, respectively. The mean duration of primary and secondary patency was 13.2 and 35.7 months, respectively. No significant clinical or anatomical predictors of primary patency could be identified. Stent placement had a negative effect on primary patency. CONCLUSION PTA is a safe and effective treatment for dysfunctional femoral arteriovenous grafts. Stent placement seems to improve technical success, but does not enhance the primary patency rate of dysfunctional femoral arteriovenous grafts.

show abstract

“…These can be created using veins from other parts of the body, such as axillo-jugular and axilloaxillary fistulas 5 , saphenous vein loops in the lower limbs 6,7 , or using grafts, such as in femoro-femoral loops 7 or axillo-axillary necklace bypasses. occur 'spontaneously'.…”

Section: Arteriovenous Fistulamentioning

confidence: 99%

Acesso vascular para hemodialise: o que ha de novo?

et al. 2013

View full text Add to dashboard Cite

The increasing life expectancy of patients with chronic diseases, including chronic renal failure, means that treatment methods are constantly being updated and improved. Long term hemodialysis has created the need to provide and maintain long lasting vascular access. Arteriovenous fistula is the first-choice option for hemodialysis and research has been conducted to attempt to increase the useful life of both fistula and catheter access methods. This article reviews the vascular access options and solutions currently available for hemodialysis.Keywords: renal dialysis; catheters; arteriovenous fistula. ResumoO aumento da expectativa de vida dos portadores de doenças crônicas, entre as quais a insuficiência renal crônica, faz com que métodos de tratamentos estejam em constante aperfeiçoamento. O uso em longo prazo da hemodiálise torna necessário confeccionar e manter acessos vasculares de utilização duradoura. Tanto as fístulas arteriovenosas -primeira opção de acesso para os pacientes hemodialíticos -como os cateteres vêm sendo objeto de estudos na literatura, na tentativa de prolongar sua vida útil. Esta revisão tem como objetivo relatar as alternativas e soluções atuais para os acessos vasculares para hemodiálise.Palavras-chave: diálise renal; cateteres; fístula arteriovenosa.

show abstract

Lower-extremity Arteriovenous Access for Haemodialysis: A Systematic Review

Cited by 109 publications

References 35 publications

Saphenous Vein or Basilic Vein Transposition in Hemodialysis Patients?

Saphenous Vein or Basilic Vein Transposition in Hemodialysis Patients?

Percutaneous transluminal angioplasty for dysfunctional femoral hemodialysis graft

Acesso vascular para hemodialise: o que ha de novo?

Contact Info

Product

Resources

About