Screening and surveillance of venous stenosis in AVG: Is it time to rethink our assumptions?
| Autor: | David B. Kingsmore, Peter C. Thomson, Karen Stevenson |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Weakness business.industry medicine.medical_treatment Psychological intervention law.invention Venous stenosis Randomized controlled trial Nephrology law Angioplasty Epidemiology medicine Surgery Observational study Arteriovenous grafts medicine.symptom Intensive care medicine business |
| Zdroj: | The journal of vascular access. |
| ISSN: | 1724-6032 |
| Popis: | Guidelines make no firm recommendations about surveillance of arteriovenous grafts as several randomised trials (RCT) have not shown a clear benefit in patency. However a more thorough review of these RCT based on epidemiological principles reveals significant limitations. In particular a key weakness of these older studies is the interventions performed for venous stenosis detected that was largely angioplasty. However, the observational data of modern stent-grafts shows a clear benefit over angioplasty, and thus seems to suggest that a modern well considered RCT is now mandated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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