On Postoperative Day Balloon Angioplasty for Salvage of Newly-Placed, Flow-Limiting Native Arteriovenous Fistula
Vascular Specialist International
;
: 20-24, 2015.
Article
in English
| WPRIM
| ID: wpr-38885
ABSTRACT
PURPOSE:
To report result and usefulness of immediate postoperative balloon angioplasty of de novo arteriovenous fistula (AVF) with limited flow just after creation. MATERIALS ANDMETHODS:
From January 1, 2012 to March 31, 2014, 1,270 patients received native AVF creations in a single vascular clinic. In twenty-four patients (1.9% of total AVF creation), immediate postoperative balloon angioplasty was performed because of limited flow on palpation (only pulsation or no thrill) just after AVF creation. Medical records were reviewed retrospectively; technical success (restoration of AVF flow)/clinical success (growing as functional AVF) rate, maturation time, primary patency rate and fistula survival outcome were analyzed during a mean 10.8 months of follow-up.RESULTS:
Technical/clinical success rate was 95.8% (23/24 cases); AVF flow was restored after balloon angioplasty, and all the flow-restorated AVFs grew as functional AVFs with mean+/-standard deviation, 4.5+/-1.5 weeks of maturation time. In seven (30.4%) patients, a secondary balloon angioplasty was needed to enhance maturation. The overall primary patency after immediate postoperative balloon angioplasty was 69.6% at 1 and 6 months and 59.0% at 12 months. There was 1 complication (operation site hematoma).CONCLUSION:
Immediate postoperative balloon angioplasty for salvage of newly-placed, flow-limiting native AVF is a useful, effective and safe procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Palpation
/
Vascular Patency
/
Medical Records
/
Retrospective Studies
/
Follow-Up Studies
/
Arteriovenous Fistula
/
Angioplasty
/
Angioplasty, Balloon
/
Fistula
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Vascular Specialist International
Year:
2015
Type:
Article
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