Comparison of surgical and radiological interventions for thrombosed arteriovenous access
Autor: | Susan Jaffe, Gary Lambert, Jonathan Freedman, Teun Wilmink |
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Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Psychological intervention Arteriovenous fistula 030204 cardiovascular system & hematology Radiography Interventional 03 medical and health sciences Arteriovenous Shunt Surgical 0302 clinical medicine Risk Factors Angioplasty Retrospective analysis medicine Humans Vascular Patency Dialysis Aged Retrospective Studies Thrombectomy business.industry Graft Occlusion Vascular Thrombosis Middle Aged medicine.disease Progression-Free Survival Surgery Treatment Outcome Nephrology Radiological weapon Female business Angioplasty Balloon |
Zdroj: | The Journal of Vascular Access. 19:555-560 |
ISSN: | 1724-6032 1129-7298 |
DOI: | 10.1177/1129729818762007 |
Popis: | Introduction: To compare open surgical and radiological interventions for thrombosed arteriovenous access for dialysis. Methods: A retrospective analysis of access procedures and dialysis episodes from 1 December 2002 to 30 November 2015 with follow-up up to 1 August 2016. Hospital records and dialysis database interrogated for further interventions and length of functional use. Results: Some 128 surgical and 27 radiological thrombectomies were compared. Radiological treatment was successful in 24 (89%) cases and surgical interventions in 65 cases (51%; p Conclusion: Revision procedures significantly increase success rate of access thrombectomies. Radiological thrombectomies have higher success rates but lower intervention-free survival and need more additional procedures to maintain patency. |
Databáze: | OpenAIRE |
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