Primary cutting balloon Angioplasty for treatment of venous stenoses in native Hemodialysis fistulas: Long-term results from three Centers

被引:16
作者
Bhat, Rajesh [1 ]
McBride, Kieran
Chakraverty, Sam
Vikram, Raghtmandan
Severn, Alison
机构
[1] Ninewells Hosp, Dept Clin Radiol, Dundee DD1 9SY, Scotland
[2] Queen Margaret Hosp, Dunfermline KY12 0SU, Fife, Scotland
关键词
angioplasty; cutting balloon; dialysis fistula;
D O I
10.1007/s00270-007-9143-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim To evaluate the technical success and patency rates following primary cutting balloon angioplasty for venous stenoses in native dialysis fistulas. Methods Forty-one patients (26 men, 15 women; age range 26-82 years, average age 59 years) underwent 50 (repeat procedures in 9 patients) primary cutting balloon (PCB) angioplasty procedures in three institutions by three primary operators. The indication was primary stenosis in 21 patients, recurrent lesions in 15, and immature fistulas in 5. A PCB was used alone in 17 cases, but was followed by a larger standard balloon in 33 cases. Follow-up included ultrasound, flow analysis and urea reduction ratio, and ranged from 2 to 30 months (mean 14 months). Results The technical success rate was 98%. All procedures were relatively painless. Two PCBs burst and 4 leaked, but without causing any morbidity. Nineteen fistulas were still working at last follow-up. Primary patency rates at 6, 12, and 24 months using Kaplan-Meier analysis were 88%, 73%, and 34%, respectively, and the primary assisted patencies were 90%, 75%, and 50%, respectively. Conclusion PCB angioplasty has high technical success and low complication rates. The long-term patency rates are favorable for PCB angioplasty and compare favorably with other series.
引用
收藏
页码:1166 / 1170
页数:5
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