Pre-operative vein mapping predicts failure of arteriovenous fistula maturation and long-term patency

Dageforde, Leigh Anne; Harms, Kelly A.; Feurer, Irene D.; Wright, Andrew S.; Shaffer, David R.

doi:10.1016/j.jamcollsurg.2013.07.369

Cited by 2 publications

(1 citation statement)

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“…Moreover, using smaller veins for AVFs has been shown to result in an increased number of fistula revisions and an increased rate of fistula failure [ 5 ]. Moreover, Dageforde et al [ 11 ] have reported that AVFs created in veins with smaller minimal vein diameters have worse secondary patency. In their study, the 24-month patency rate in veins <0.28 mm in diameter was found to be only 32% (p=0.018).…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Balloon Angioplasty Using Fogarty Artertial Embolectomy Balloon Catheter for Creation of Arteriovenous Fistula for Hemodialysis: Single Center Experience

Jin

Yoon

et al. 2015

Korean J Thorac Cardiovasc Surg

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BackgroundThe purpose of this study was to evaluate the use of a Fogarty arterial embolectomy catheter (Fogarty catheter) in intraoperative balloon angioplasty of the cephalic vein, in order to determine its effect on the patency of arteriovenous fistulas (AVFs) created for hemodialysis access.MethodsA total of 156 patients who underwent creation of an AVF were divided into two groups, based whether a Fogarty catheter was used during AVF creation. Group A (89 patients) comprised the patients who underwent balloon angioplasty with a Fogarty catheter during the operation. Group B (67 patients) included the patients in whom a Fogarty catheter was not used during the operation. Patient records were reviewed retrospectively and documented. The patency rate was determined by the Kaplan-Meier method.ResultsThe records of 156 patients who underwent the creation of an AVF from January 2007 to October 2011 were included. The mean follow-up duration was 40.2±19.4 months (range, 1 to 97 months). The patency rates in group A at 12, 36, and 72 months were 83.9%±3.9%, 78.3%±4.6%, and 76.3%±4.9%, respectively, while the corresponding patency rates in group B were 92.5%±3.2%, 82.8%±0.5%, and 79.9%±5.7%, respectively. The patency rates in group B were found to be slightly higher than those in group A, but the difference was not statistically significant (p=0.356).ConclusionIntraoperative balloon angioplasty of the cephalic vein using the Fogarty catheter is a simple and easily reproducible procedure, and it can be helpful in increasing AVF patency in cases of insufficient runoff or a suboptimal cephalic vein.

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Section: Discussionmentioning

confidence: 99%