Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis
Background: Arteriovenous fistula (AVF) is a significant procedure for patients in need for hemodialysis. Failure of maturation due to stenosis is a challenge, which need further intervention.Aim of the work: To present our experience in therapeutic intervention for non-mature arteriovenous fistula...
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2019-10-01
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doaj-8147e5346a8544b3b4dfa789f51c7e482021-01-15T16:32:59ZengEgyptian knowledge bankInternational Journal of Medical Arts2636-41742682-37802019-10-0112798410.21608/ijma.2019.4532745327Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by StenosisAlmetwaly Ibrahim0Vascular Surgery Department; Faculty of Medicine (Damietta), Al-Azhar UniversityBackground: Arteriovenous fistula (AVF) is a significant procedure for patients in need for hemodialysis. Failure of maturation due to stenosis is a challenge, which need further intervention.Aim of the work: To present our experience in therapeutic intervention for non-mature arteriovenous fistula caused by stenosis using balloon angioplasty.Patients and Methods: 25 patients who had stenosis of primary AVF were included. The mean age was 57.28±6.97 years and patients were 16 males and 9 females. Patients were Followed-up every three months up to 1 year. Collected data included patient demographics, cause of renal failure, characters of primary AVF, and variables of balloon angioplasty (e.g., clinical success and complications), primary patency and recurrence of stenosis.Results: AVF type was radiocephalic (60.0%), brachiobasilic (24.0%) and brachiocephalic (16.0%). The fistula segment was juxta-anastomotic (44%), anastomosis (36.0%) and efferent in 20.0%. Technical success was 100%; the patency rate at 6 months was 80.0%, at 9 months was 64.0% and at 12 months was 56.0%. There was puncture site hematoma in 2 patients (8.0%) that were treated conservatively. The recurrence was reported in 9 patients (36.0%) (8 cases due to re-occlusion and one patient due to thrombus formation). Recurrence was significantly associated with older age and high coronary artery disease.Conclusions: Balloon angioplasty is effective and safe procedure for treatment of AVF non-maturation due to stenosis.https://ijma.journals.ekb.eg/article_45327_c7b03a189238a1271610d62826516430.pdfarteriovenous fistulaballoon angioplastynon-maturestenosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Almetwaly Ibrahim |
spellingShingle |
Almetwaly Ibrahim Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis International Journal of Medical Arts arteriovenous fistula balloon angioplasty non-mature stenosis |
author_facet |
Almetwaly Ibrahim |
author_sort |
Almetwaly Ibrahim |
title |
Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis |
title_short |
Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis |
title_full |
Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis |
title_fullStr |
Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis |
title_full_unstemmed |
Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis |
title_sort |
role of balloon angioplasty in non-mature arteriovenous fistula caused by stenosis |
publisher |
Egyptian knowledge bank |
series |
International Journal of Medical Arts |
issn |
2636-4174 2682-3780 |
publishDate |
2019-10-01 |
description |
Background: Arteriovenous fistula (AVF) is a significant procedure for patients in need for hemodialysis. Failure of maturation due to stenosis is a challenge, which need further intervention.Aim of the work: To present our experience in therapeutic intervention for non-mature arteriovenous fistula caused by stenosis using balloon angioplasty.Patients and Methods: 25 patients who had stenosis of primary AVF were included. The mean age was 57.28±6.97 years and patients were 16 males and 9 females. Patients were Followed-up every three months up to 1 year. Collected data included patient demographics, cause of renal failure, characters of primary AVF, and variables of balloon angioplasty (e.g., clinical success and complications), primary patency and recurrence of stenosis.Results: AVF type was radiocephalic (60.0%), brachiobasilic (24.0%) and brachiocephalic (16.0%). The fistula segment was juxta-anastomotic (44%), anastomosis (36.0%) and efferent in 20.0%. Technical success was 100%; the patency rate at 6 months was 80.0%, at 9 months was 64.0% and at 12 months was 56.0%. There was puncture site hematoma in 2 patients (8.0%) that were treated conservatively. The recurrence was reported in 9 patients (36.0%) (8 cases due to re-occlusion and one patient due to thrombus formation). Recurrence was significantly associated with older age and high coronary artery disease.Conclusions: Balloon angioplasty is effective and safe procedure for treatment of AVF non-maturation due to stenosis. |
topic |
arteriovenous fistula balloon angioplasty non-mature stenosis |
url |
https://ijma.journals.ekb.eg/article_45327_c7b03a189238a1271610d62826516430.pdf |
work_keys_str_mv |
AT almetwalyibrahim roleofballoonangioplastyinnonmaturearteriovenousfistulacausedbystenosis |
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