Pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturation

Abstract Purpose The aim of this study was to investigate the effectiveness and safety of the pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic AVF maturation. Methods We retrospective studied a total of 62 patients with immatu...

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Main Authors: Jun Yin, Fengping Zhang, Ping Fu
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Nephrology
Subjects:
Online Access:https://doi.org/10.1186/s12882-024-03523-z
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author Jun Yin
Fengping Zhang
Ping Fu
author_facet Jun Yin
Fengping Zhang
Ping Fu
author_sort Jun Yin
collection DOAJ
description Abstract Purpose The aim of this study was to investigate the effectiveness and safety of the pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic AVF maturation. Methods We retrospective studied a total of 62 patients with immature radiocephalic AVF, who received balloon-assisted maturation in our hospital. 15 patients received pull-through technique through radial artery without sheath insertion and 47 patients received treatment through a regular venous approach. Results The success rate of pull-through technique group and control group was 86.7% (13 out of 15), 89.1% (41 out of 46) respectively. There was no significant difference between two groups (P > 0.05). In our study, there were 2 patients in the pull-through technique group and 3 patients in the control group, which had hematoma in the vein puncture site (P = 0.59). There were also no differences in the primary patency rate between two groups at 6 months and 12 months (76.9% vs 70.7%, 38.4% vs 41.5%, respectively, P > 0.05). Conclusion The pull-through technique through antegrade radial artery without sheath insertion in promoting radiocephalic AVF maturation is effective and safe.
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spelling doaj.art-f559130f4ca7414ab86bbb96256c6ffd2024-03-24T12:13:06ZengBMCBMC Nephrology1471-23692024-03-012511610.1186/s12882-024-03523-zPull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturationJun Yin0Fengping Zhang1Ping Fu2Department of Nephrology, Kidney Research Institute, West China Hospital of Sichuan UniversityDepartment of Nephrology, Jiujiang NO.1 People’s HospitalDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan UniversityAbstract Purpose The aim of this study was to investigate the effectiveness and safety of the pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic AVF maturation. Methods We retrospective studied a total of 62 patients with immature radiocephalic AVF, who received balloon-assisted maturation in our hospital. 15 patients received pull-through technique through radial artery without sheath insertion and 47 patients received treatment through a regular venous approach. Results The success rate of pull-through technique group and control group was 86.7% (13 out of 15), 89.1% (41 out of 46) respectively. There was no significant difference between two groups (P > 0.05). In our study, there were 2 patients in the pull-through technique group and 3 patients in the control group, which had hematoma in the vein puncture site (P = 0.59). There were also no differences in the primary patency rate between two groups at 6 months and 12 months (76.9% vs 70.7%, 38.4% vs 41.5%, respectively, P > 0.05). Conclusion The pull-through technique through antegrade radial artery without sheath insertion in promoting radiocephalic AVF maturation is effective and safe.https://doi.org/10.1186/s12882-024-03523-zArteriovenous fistulaPull-through techniqueHemodialysisBalloon-assisted maturation
spellingShingle Jun Yin
Fengping Zhang
Ping Fu
Pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturation
BMC Nephrology
Arteriovenous fistula
Pull-through technique
Hemodialysis
Balloon-assisted maturation
title Pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturation
title_full Pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturation
title_fullStr Pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturation
title_full_unstemmed Pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturation
title_short Pull-through technique through antegrade radial artery puncture without sheath insertion in balloon-assisted radiocephalic arteriovenous fistulas maturation
title_sort pull through technique through antegrade radial artery puncture without sheath insertion in balloon assisted radiocephalic arteriovenous fistulas maturation
topic Arteriovenous fistula
Pull-through technique
Hemodialysis
Balloon-assisted maturation
url https://doi.org/10.1186/s12882-024-03523-z
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AT fengpingzhang pullthroughtechniquethroughantegraderadialarterypuncturewithoutsheathinsertioninballoonassistedradiocephalicarteriovenousfistulasmaturation
AT pingfu pullthroughtechniquethroughantegraderadialarterypuncturewithoutsheathinsertioninballoonassistedradiocephalicarteriovenousfistulasmaturation