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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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2019-10-01
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| Series: | International Journal of Medical Arts |
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| Online Access: | https://ijma.journals.ekb.eg/article_45327_c7b03a189238a1271610d62826516430.pdf |
| _version_ | 1818851285023064064 |
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| author | Almetwaly Ibrahim |
| author_facet | Almetwaly Ibrahim |
| author_sort | Almetwaly Ibrahim |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-19T07:02:35Z |
| format | Article |
| id | doaj.art-8147e5346a8544b3b4dfa789f51c7e48 |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-12-19T07:02:35Z |
| publishDate | 2019-10-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-8147e5346a8544b3b4dfa789f51c7e482022-12-21T20:31:23ZengAl-Azhar University, Faculty of Medicine (Damietta)International 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 |
| 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 |
| title | 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_short | 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 |
| 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 |