Clinical Significance of Routine Fistulography at Postoperative 1 Month in Patients Receiving Native Arteriovenous Fistula / 대한신장학회잡지
Korean Journal of Nephrology
;
: 951-956, 2005.
Article
in Korean
| WPRIM
| ID: wpr-229212
ABSTRACT
BACKGROUND:
Fistulography is simple and accurate method detecting vascular access dysfunction. This study was performed to evaluate clinical significance of routine fistulography at postoperative 1 month in hemodialysis (HD) patients receiving native arteriovenous fistula (AVF).METHODS:
This study enrolled 28 HD patients receiving native AVF operation who performed routine fistulography at postoperative 1 month before the first needling through the AVF. We investigated fistulographic findings and performed percutaneous angioplasty (PTA) in patients having severe stenosis more than 50 % of normal internal diameter.RESULTS:
Of the total 28 patients, 8 patients showed normal findings and 20 patients showed stenosis in which 8 patients had severe stenosis requiring radiological or surgical correction. Of the 20 patients with stenosis, 12 patients had multiple lesions. Stenotic lesions were observed in AVF anastomosis site (n=6), proximal vein (n=5), artery near the AVF anastomosis site, and mixed lesions (n=6). PTA was performed in 5 of the 8 patients with severe stenosis and all stenostic lesions were completely corrected.CONCLUSION:
Routine fistulography performed at postoperative 1 month is effective in detecting early native AVF and deciding treatment modalities.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Veins
/
Arteriovenous Fistula
/
Renal Dialysis
/
Angioplasty
/
Constriction, Pathologic
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2005
Type:
Article
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