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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Autor principal:	Almetwaly Ibrahim
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2019
Materias:	arteriovenous fistula balloon angioplasty non-mature stenosis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8147e5346a8544b3b4dfa789f51c7e48
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spelling	oai:doaj.org-article:8147e5346a8544b3b4dfa789f51c7e482021-12-02T13:53:21ZRole of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis2636-41742682-378010.21608/ijma.2019.45327https://doaj.org/article/8147e5346a8544b3b4dfa789f51c7e482019-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_45327_c7b03a189238a1271610d62826516430.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Almetwaly IbrahimAl-Azhar University, Faculty of Medicine (Damietta)articlearteriovenous fistulaballoon angioplastynon-maturestenosisMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 1, Iss 2, Pp 79-84 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	arteriovenous fistula balloon angioplasty non-mature stenosis Medicine (General) R5-920
spellingShingle	arteriovenous fistula balloon angioplasty non-mature stenosis Medicine (General) R5-920 Almetwaly Ibrahim Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis
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.
format	article
author	Almetwaly Ibrahim
author_facet	Almetwaly Ibrahim
author_sort	Almetwaly Ibrahim
title	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_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_sort	role of balloon angioplasty in non-mature arteriovenous fistula caused by stenosis
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2019
url	https://doaj.org/article/8147e5346a8544b3b4dfa789f51c7e48
work_keys_str_mv	AT almetwalyibrahim roleofballoonangioplastyinnonmaturearteriovenousfistulacausedbystenosis
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Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis

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