The outcomes of carbon dioxide digital subtraction angiography for percutaneous transluminal balloon angioplasty of access circuits and venous routes in hemodialysis patients
| Autor: | Shuto Miyamura, Yutaro Tasaki, Yasushi Mochizuki, Ichiro Sakamoto, Masataka Uetani, Yoshifumi Matsushima, Eijun Sueyoshi, Hiroko Takamatsu |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Observational Study Contrast Media Balloon urologic and male genital diseases Subclavian Vein DSA 03 medical and health sciences 0302 clinical medicine Renal Dialysis Angioplasty interventional radiology otorhinolaryngologic diseases Medicine Vascular Patency Humans 030212 general & internal medicine Dialysis Aged Retrospective Studies medicine.diagnostic_test business.industry Angiography Digital Subtraction Interventional radiology General Medicine Digital subtraction angiography Carbon Dioxide Middle Aged Surgery body regions PTA 030220 oncology & carcinogenesis Case-Control Studies Angiography dialysis CO2 Female Hemodialysis business Angioplasty Balloon Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | The outcomes of carbon dioxide digital subtraction angiography (CO2-DSA) for performing percutaneous transluminal balloon angioplasty (balloon PTA)in hemodialysis patients has not been fully clarified. The purpose was to compare the outcomes of balloon PTA of hemodialysis shunts in terms of vessel patency between patients treated using CO2-DSA and conventional digital subtraction angiography using iodine contrast medium (C-DSA).We retrospectively evaluated 76 patients (38 males and 38 females,mean age: 65.0?±?14.0 years). They were under hemodialysis and treated with balloon PTA using CO2-DSA or C-DSA at our institution between 2009 and 2016. Mean duration of the follow-up period was 25.59?±?21.45 months.We compared the patency rates obtained after CO2-DSA-based balloon PTA with those after C-DSA-based balloon PTA. Secondary patency, which was defined as the duration of patency after all further endovascular interventions until surgical repair, was considered as the endpoint in this study.Overall, 19 and 57 patients underwent CO2-DSA- and C-DSA-based balloon PTA, respectively. CO2-DSA- and C-DSA-based balloon PTA produced clinical success rates of 100% and 96.5%, respectively. Blood vessel injury occurred in one patient who underwent C-DSA-based balloon PTA. No major complications occurred in CO2 group. At 24 months, the post-PTA secondary patency rates of CO2-DSA- and C-DSA-based balloon PTA were 94.1% and 93.9%,respectively (P?=?.9594).CO2-DSA is safe for hemodialysis patients. Compared with C-DSA, CO2-DSA-based balloon PTA produces have a similar secondary patency rate. Medicine, 99(36), e21890; 2020 |
| Databáze: | OpenAIRE |
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