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, Eui Yong; Cho, Young Kwon; Cho, Sung Bum; Yoon, Dae Young; Suh, Seong O

doi:10.5812/iranjradiol.32559

Cited by 11 publications

(5 citation statements)

References 20 publications

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“…During the entire study period, the initial VAIVT success rate was 93.8%, similar to that reported by previous studies [19][20][21][22][23][24][25]. In addition, the 1-year patency rate was 39.7% (Fig.…”

Section: Initial Success and Primary Patency Ratessupporting

confidence: 87%

Patency with antiplatelet treatment after vascular access intervention therapy: a retrospective observational study

et al. 2018

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Background: Vascular access (VA) intervention therapy (VAIVT) has been increasingly used for treating VA failure (VAF) in patients undergoing hemodialysis; however, clinical evidence demonstrating the efficacy of prevention of VAF after VAIVT is limited. Therefore, we aimed to assess characteristics of patients developing VAF after VAIVT and analyze risk factors for VAF after VAIVT. Methods: This retrospective study included 96 patients with VAF who underwent ultrasound-guided VAIVT by interventional nephrologists between January 2013

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Section: Initial Success and Primary Patency Ratessupporting

confidence: 87%

Patency with antiplatelet treatment after vascular access intervention therapy: a retrospective observational study

et al. 2018

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“…In contrast, using gadolinium-containing contrast agents in patients with end-stage renal disease may result in nephrogenic systemic fibrosis (NSF) (13,14). DUS, a non-invasive technique, can provide valuable information for predicting fistula maturation such as intravascular diameter and arteriovenous lesions before and after AVF construction (15,16). Preoperative DUS can improve the success rate of AVF establishment (17).…”

Section: Discussionmentioning

confidence: 99%

Correlation between preoperative Doppler ultrasonography-assessed specific accessory cephalic vein diameter-cephalic vein diameter ratio (r) and early dysfunction of radial artery-cephalic vein arteriovenous fistula: a single-center cross-sectional study

Lin¹,

Qian²,

He³

et al. 2023

Ann Transl Med

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Background: Accessory cephalic vein (ACV) ligation can save immature arteriovenous fistula (AVF) of patients. However, no consensus has been reached on the definite timing of ACV ligation. To retrospectively analyze the correlation between preoperative Doppler ultrasonography (DUS)-assessed specific ACV diameter-cephalic vein diameter ratio (r) and early dysfunction of radial artery-cephalic vein arteriovenous fistula (RC-AVF).To improve the early maturity rate of RC-AVF.Methods: A total of 258 patients with RC-AVF diagnosed at the Vascular Surgery Center of the Third Affiliated Hospital of Sun Yat-sen University from 1 June 2018 to 31 March 2022, were included in this study. The inclusion criteria were as follows: (I) no DUS-confirmed vascular variation; (II) cephalic vein ≥2.0 mm and radial artery ≥1.5 mm, suitable for RC-AVF establishment; (III) presence of an ACV. As per the specific r determined using preoperative DUS assessment, all patients were classified into two groups: Group A and Group B. Furthermore, patients in each group were divided into intervention and non-intervention subgroups based on the presence or absence of intraoperative ACV ligation, respectively. Evaluate whether patients' age, sex, underlying disease, AVF side, radial diameter and other data can be compared. The difference of maturity rate between intervention group and non-intervention group with different r values was analyzed, so as to obtain the relationship between different r and maturity rate.Results: No statistical differences were observed between the intervention and non-intervention subgroups in the two groups in terms of sex, age, comorbidities, complications, AVF side, radial artery, cephalic vein, and ACV diameters (P>0.05). When r<0.8, the maturity rates of the intervention group and the nonintervention group were 80% and 92.98%, respectively, χ 2 =4.561. The difference in maturation rate between the intervention and non-intervention subgroups was insignificant (P=0.075>0.05) when r<0.8. When r≥0.8, the maturity rates of the intervention group and the non-intervention group were 89.83% and 45.45%, respectively, χ 2 =25.943. The difference in maturation rates between the intervention and non-intervention subgroups was significant when r≥0.8 (P<0.001).Conclusions: Preoperative DUS suggested a correlation between r≥0.8 and early immaturity of RC-AVF.Therefore, concurrent intraoperative ACV ligation should be carried out when preoperative r is ≥0.8 in order to reduce the early power dysfunction of RC-AVF.

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“…Jeon et al (52) worked on 59 patients with immature AVFs post 5 weeks of intervention. Endovascular intervention for maturation of the fistulae with clinical success 90% and primary patency 71%, which go with our clinical results of the study.…”

Section: Discussionmentioning

confidence: 99%

Balloon management of Dysfunctional Arteriovenous Fistula for Hemodialysis with Ligation of Competitive Veins

Ghweeba

2023

Medicine Updates

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Introduction: Arteriovenous fistula (AVF) is the recommended access for patients in need for long term hemodialysis (HD). The primary dysfunction of AVF because of stenosis is a surgical problem and need to manage it. The aim of the study is to salvage AVFs by balloon angioplasty. Methods: a prospective clinical study was done from July 2019 to November 2022, including 42 dysfunctional native AVFs, and recommended for endovascular salvage. Follow up of patency of AVF along duration of the study (12 months) post-intervention using fistula-gram to estimate the success and patency rate with preserving function. Results: the study was done on 42 end stage renal disease (ESRD) patients. 42 AVFs, aged 45.6 ± 14.2 years, 27 (64.3%) were males, 15 (35.7%) were females, 3 (7.1%) patients were smokers, 33 (78.6%) of the patients were diabetics, 32 (76.2%) patients were hypertensive and 27 (64.3%) patients have ischemic heart disease. The stenotic lesions were detected in AVA in 4 (16.7%) patients, Juxtaanastomotic in 3 (12.5%) patients, Proximal venous outflow in 6 (25%), distal venous outflow in 7 (29.2%) and lesion in central venous in 2 (8.3%) patients. Success rate was recorded in 30 (71.4%) patients. Conclusion: Endovascular approach for treatment of non-functioning AVF is safe and efficient for maturation of the AVF and make it useful for hemodialysis.

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

Cited by 11 publications

References 20 publications

Patency with antiplatelet treatment after vascular access intervention therapy: a retrospective observational study

Patency with antiplatelet treatment after vascular access intervention therapy: a retrospective observational study

Correlation between preoperative Doppler ultrasonography-assessed specific accessory cephalic vein diameter-cephalic vein diameter ratio (r) and early dysfunction of radial artery-cephalic vein arteriovenous fistula: a single-center cross-sectional study

Balloon management of Dysfunctional Arteriovenous Fistula for Hemodialysis with Ligation of Competitive Veins

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