Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled Study
INTRODUCTION: When creating an arteriovenous fistula (AVF), it is crucial that the patient has a vein of the appropriate diameter. Vein dilatation is used to provide fistula patency in patients with a cephalic vein <2.5 cm. We used hydrostatic dilation (HD) and primary balloon angioplasty (PB...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Van Yuzuncu Yil University, School of Medicine
2023-07-01
|
| Series: | Van Tıp Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-89656 |
| _version_ | 1797420463581822976 |
|---|---|
| author | Rukiye Derin Atabey |
| author_facet | Rukiye Derin Atabey |
| author_sort | Rukiye Derin Atabey |
| collection | DOAJ |
| description | INTRODUCTION: When creating an arteriovenous fistula (AVF), it is crucial that the patient has a vein of the appropriate diameter. Vein dilatation is used to provide fistula patency in patients with a cephalic vein <2.5 cm. We used hydrostatic dilation (HD) and primary balloon angioplasty (PBA) methods for vein dilatation in our patients. In our study, we aimed to determine the results of venous dilatations performed with different techniques, the effect on fistula patency, and the superiority of the procedures. METHODS: A prospective randomized controlled study was conducted with patients in whom AVF was to be established. 100 patients who will undergo ven dilatation were divided into 2 groups. HD was applied to the first group and PBA was applied to the second group. RESULTS: There were 51 (51%) patients in group 1 and 49 (49%) patients in group 2. At the end of the 1st week, 1st month, and 6th month, fistula opening and the presence of trill were recorded. In the first month after the procedure, 44 (66.7%) of those who received trill underwent PBA, 22 (33.3%) HD. The presence of trillin at 1 month was found to be associated with the procedure applied (p=0.001). DISCUSSION AND CONCLUSION: PBA of veins <2.5 cm in diameter is an effective method of dilation. Fistula patency and maturation results were good and superior to the HD technique. |
| first_indexed | 2024-03-09T07:02:50Z |
| format | Article |
| id | doaj.art-12c5da6f7920410b94ba8fe80366796c |
| institution | Directory Open Access Journal |
| issn | 2587-0351 |
| language | English |
| last_indexed | 2024-03-09T07:02:50Z |
| publishDate | 2023-07-01 |
| publisher | Van Yuzuncu Yil University, School of Medicine |
| record_format | Article |
| series | Van Tıp Dergisi |
| spelling | doaj.art-12c5da6f7920410b94ba8fe80366796c2023-12-03T09:47:41ZengVan Yuzuncu Yil University, School of MedicineVan Tıp Dergisi2587-03512023-07-0130327928510.5505/vtd.2023.89656VTD-89656Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled StudyRukiye Derin Atabey0Department of Cardiovascular Surgery,Van Yüzüncü Yıl University,Van,TurkeyINTRODUCTION: When creating an arteriovenous fistula (AVF), it is crucial that the patient has a vein of the appropriate diameter. Vein dilatation is used to provide fistula patency in patients with a cephalic vein <2.5 cm. We used hydrostatic dilation (HD) and primary balloon angioplasty (PBA) methods for vein dilatation in our patients. In our study, we aimed to determine the results of venous dilatations performed with different techniques, the effect on fistula patency, and the superiority of the procedures. METHODS: A prospective randomized controlled study was conducted with patients in whom AVF was to be established. 100 patients who will undergo ven dilatation were divided into 2 groups. HD was applied to the first group and PBA was applied to the second group. RESULTS: There were 51 (51%) patients in group 1 and 49 (49%) patients in group 2. At the end of the 1st week, 1st month, and 6th month, fistula opening and the presence of trill were recorded. In the first month after the procedure, 44 (66.7%) of those who received trill underwent PBA, 22 (33.3%) HD. The presence of trillin at 1 month was found to be associated with the procedure applied (p=0.001). DISCUSSION AND CONCLUSION: PBA of veins <2.5 cm in diameter is an effective method of dilation. Fistula patency and maturation results were good and superior to the HD technique.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-89656arteriovenous fistuladialysisprimary balloon angioplastyhydrostatic dilation |
| spellingShingle | Rukiye Derin Atabey Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled Study Van Tıp Dergisi arteriovenous fistula dialysis primary balloon angioplasty hydrostatic dilation |
| title | Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled Study |
| title_full | Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled Study |
| title_fullStr | Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled Study |
| title_full_unstemmed | Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled Study |
| title_short | Which technique is superior for long-term patency of arteriovenous fistulas formed by small-diameter vessels? A Prospective Randomized Controlled Study |
| title_sort | which technique is superior for long term patency of arteriovenous fistulas formed by small diameter vessels a prospective randomized controlled study |
| topic | arteriovenous fistula dialysis primary balloon angioplasty hydrostatic dilation |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-89656 |
| work_keys_str_mv | AT rukiyederinatabey whichtechniqueissuperiorforlongtermpatencyofarteriovenousfistulasformedbysmalldiametervesselsaprospectiverandomizedcontrolledstudy |