Primary intraoperative transluminal angioplasty: a new approach to reduce the early failure of distal arteriovenous fistulas
| Autor: | Salvatore Stefanizzi, Anna M Montinaro, Elio Montagna, Giovanni Sandri, Cosimo Montagna, Maria Luisa Lefons, Domenico Mangione, Efisio Sozzo, Caterina Pati, Marcello Napoli |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Heart disease Fistula medicine.medical_treatment Arteriovenous fistula Arterial Occlusive Diseases Comorbidity Constriction Pathologic Risk Assessment Upper Extremity Arteriovenous Shunt Surgical Risk Factors Diabetes mellitus Angioplasty medicine Vascular Patency Humans Treatment Failure Aged Aged 80 and over Intraoperative Care business.industry Incidence (epidemiology) Middle Aged medicine.disease Surgery Nephrology Female business Angioplasty Balloon |
| Zdroj: | The journal of vascular access. 16(3) |
| ISSN: | 1724-6032 |
| Popis: | Purpose About 8 years ago, we approached an intraoperative transluminal angioplasty (ITA) performed during the arteriovenous fistula (AVF) creation, to treat arterial or venous stenosis diagnosed by a preliminary ultrasound examination. Objective of this study is to validate the efficacy of ITA. Methods Early failure (EF) and failure to mature (FTM) were evaluated in 69 AVFs with ITA created in 58 patients in the last 3 years. In the same period, 160 patients received 188 AVFs without ITA and were considered control group. Of the two groups, age, comorbid factors, sex, primary and secondary patency rate (PR) were also analysed. Results The two groups were homogeneous for gender and age (70.4 + 11.1 years of ITA group vs. 66.3 + 14.4, p = 0.059). The incidence of diabetes, heart disease and peripheral artery disease was higher in the ITA group (43% vs. 17%, pConclusions Our ITA approach has allowed satisfactory results in patients at a high risk of AVF failure. |
| Databáze: | OpenAIRE |
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