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2015 ; 31
(1
): 20-4
Nephropedia Template TP
gab.com Text
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English Wikipedia
On Postoperative Day Balloon Angioplasty for Salvage of Newly-Placed,
Flow-Limiting Native Arteriovenous Fistula
#MMPMID26217640
Park JY
; Yoo CH
Vasc Specialist Int
2015[Mar]; 31
(1
): 20-4
PMID26217640
show ga
PURPOSE: To report result and usefulness of immediate postoperative balloon
angioplasty of de novo arteriovenous fistula (AVF) with limited flow just after
creation. MATERIALS AND METHODS: From January 1, 2012 to March 31, 2014, 1,270
patients received native AVF creations in a single vascular clinic. In
twenty-four patients (1.9% of total AVF creation), immediate postoperative
balloon angioplasty was performed because of limited flow on palpation (only
pulsation or no thrill) just after AVF creation. Medical records were reviewed
retrospectively; technical success (restoration of AVF flow)/clinical success
(growing as functional AVF) rate, maturation time, primary patency rate and
fistula survival outcome were analyzed during a mean 10.8 months of follow-up.
RESULTS: Technical/clinical success rate was 95.8% (23/24 cases); AVF flow was
restored after balloon angioplasty, and all the flow-restorated AVFs grew as
functional AVFs with mean±standard deviation, 4.5±1.5 weeks of maturation time.
In seven (30.4%) patients, a secondary balloon angioplasty was needed to enhance
maturation. The overall primary patency after immediate postoperative balloon
angioplasty was 69.6% at 1 and 6 months and 59.0% at 12 months. There was 1
complication (operation site hematoma). CONCLUSION: Immediate postoperative
balloon angioplasty for salvage of newly-placed, flow-limiting native AVF is a
useful, effective and safe procedure.