The related factors to the re-thrombosis of hemodialysis arteriovenous graft after endovascular salvage

被引:2
作者
Janjindamai, Phurich [1 ]
Hongsakul, Keerati [1 ]
Sungsiri, Jitpreedee [1 ]
Bannangkoon, Kittipitch [1 ]
Liabsuetrakul, Tippawan [2 ]
机构
[1] Prince Songkla Univ, Div Intervent Radiol, Dept Radiol, Fac Med, 15 Kanchanavanit Rd, Hat Yai 90110, Songkhla, Thailand
[2] Prince Songkla Univ, Dept Epidemiol, Fac Med, Hat Yai, Songkhla, Thailand
关键词
PERCUTANEOUS RHEOLYTIC THROMBECTOMY; PHARMACOMECHANICAL THROMBOLYSIS; SURGICAL THROMBECTOMY; PLUS ASPIRIN; FISTULAS; THERAPY; FAILURE; PATENCY; METAANALYSIS;
D O I
10.1111/sdi.13091
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background Only a few issues of the related factors to hemodialysis access dysfunction have been evaluated, and the effects of antiplatelets to improve the patency of hemodialysis access remained controversial. Hence, this study aimed to determine the related factors to the re-thrombosis of arteriovenous grafts (AVGs) after endovascular treatment. Methods This retrospective study was conducted at a university-affiliated teaching hospital in Southern Thailand. All patients who underwent hemodialysis with thrombosed AVG, who had pharmacomechanical thrombolysis from January 2016 to December 2018, were enrolled. Post-intervention primary patency was analyzed by the Kaplan-Meier method, and the related factors to the re-thrombosis of AVG were evaluated using logistic regression. Results A total of 157 patients with thrombosed hemodialysis AVG were enrolled. The most common graft location and configuration was a forearm loop graft (65%). Post-intervention primary patency rate at 1, 3, and 6 months were 79.0%, 67.1%, and 54.0%, respectively. Diabetes mellitus (DM) was a significant related factor for re-thrombosis (hazard ratio [HR], 1.89; 95% confidence interval [CI], 1.20-2.98; p = 0.006). A single antiplatelet after the procedure was a protective factor for re-thrombosis (HR, 0.58; 95% CI, 0.38-0.89; p = 0.013). The median post-intervention primary patency was 15.7 months in the group of single antiplatelet usage, which was better than that of the non-antiplatelet group (p = 0.012). Conclusion DM and antiplatelet usage were significant related factors to the re-thrombosis of hemodialysis AVG after endovascular salvage.
引用
收藏
页码:208 / 213
页数:6
相关论文
共 30 条
[1]   Perioperative and long-term outcomes after percutaneous thrombectomy of arteriovenous dialysis access grafts [J].
Arinze, Nkiruka ;
Ryan, Tyler ;
Pillai, Rohit ;
Vilvendhan, Rajendran ;
Farber, Alik ;
Jones, Douglas W. ;
Rybin, Denis ;
Levin, Scott R. ;
Cheng, Thomas W. ;
Siracuse, Jeffrey J. .
JOURNAL OF VASCULAR SURGERY, 2020, 72 (06) :2107-2112
[2]   Pharmacomechanical Thrombolysis for the Treatment of Thrombosed Native Arteriovenous Fistula: A Single-Center Experience [J].
Boonsrirat, Ussanee ;
Hongsakul, Keerati .
POLISH JOURNAL OF RADIOLOGY, 2014, 79 :363-367
[3]   Safety and efficacy of the AngioJet device in the treatment of thrombosed arteriovenous fistula and grafts: A systematic review [J].
Chan, Philip G. C. ;
Goh, Gerard S. .
JOURNAL OF VASCULAR ACCESS, 2018, 19 (03) :243-251
[4]   Efficacy of a Modified Pharmacomechanical Thrombolysis Technique for Endovascular Treatment of Thrombosed Prosthetic Arteriovenous Grafts [J].
Choi, Sun Young ;
Choi, Byung Gil ;
Han, Kum Hyun ;
Chun, Ho Jong .
KOREAN JOURNAL OF RADIOLOGY, 2012, 13 (03) :300-306
[5]   Diabetes and vascular disease -: Pathophysiology, clinical consequences, and medical therapy:: Part I [J].
Creager, MA ;
Lüscher, TF ;
Cosentino, F ;
Beckman, JA .
CIRCULATION, 2003, 108 (12) :1527-1532
[6]   Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit [J].
Dariushnia, Sean R. ;
Walker, T. Gregory ;
Silberzweig, James E. ;
Annamalai, Ganesan ;
Krishnamurthy, Venkataramu ;
Mitchell, Jason W. ;
Swan, Timothy L. ;
Wojak, Joan C. ;
Nikolic, Boris ;
Midia, Mehran .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2016, 27 (10) :1518-1530
[7]   Use of Aspirin Associates with Longer Primary Patency of Hemodialysis Grafts [J].
Dixon, Bradley S. ;
Beck, Gerald J. ;
Dember, Laura M. ;
Vazquez, Miguel A. ;
Greenberg, Arthur ;
Delmez, James A. ;
Allon, Michael ;
Himmelfarb, Jonathan ;
Hu, Bo ;
Greene, Tom ;
Radeva, Milena K. ;
Davidson, Ingemar J. ;
Ikizler, T. Alp ;
Braden, Gregory L. ;
Lawson, Jeffrey H. ;
Cotton, James R., Jr. ;
Kusek, John W. ;
Feldman, Harold I. .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2011, 22 (04) :773-781
[8]   Effect of Dipyridamole plus Aspirin on Hemodialysis Graft Patency [J].
Dixon, Bradley S. ;
Beck, Gerald J. ;
Vazquez, Miguel A. ;
Greenberg, Arthur ;
Delmez, James A. ;
Allon, Michael ;
Dember, Laura M. ;
Himmelfarb, Jonathan ;
Gassman, Jennifer J. ;
Greene, Tom ;
Radeva, Milena K. ;
Davidson, Ingemar J. ;
Ikizler, T. Alp ;
Braden, Gregory L. ;
Fenves, Andrew Z. ;
Kaufman, James S. ;
Cotton, James R., Jr. ;
Martin, Kevin J. ;
McNeil, James W. ;
Rahman, Asif ;
Lawson, Jeffery H. ;
Whiting, James F. ;
Hu, Bo ;
Meyers, Catherine M. ;
Kusek, John W. ;
Feldman, Harold I. .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (21) :2191-2201
[9]  
Hongsakul K, 2015, ANN ACAD MED SINGAP, V44, P66
[10]   Timely thrombectomy can improve patency of hemodialysis arteriovenous fistulas [J].
Hsieh, Mu-Yang ;
Lin, Lin ;
Chen, Tsung-Yan ;
Chen, Dao-Ming ;
Lee, Ming-Hsien ;
Shen, Yung-Fang ;
Yang, Chung-Wei ;
Chuang, Shao-Yuan ;
Wu, Chih-Cheng ;
Hung, Kuan-Yu .
JOURNAL OF VASCULAR SURGERY, 2018, 67 (04) :1217-1226