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Improved cumulative survival in fistulas requiring surgical interventions to promote fistula maturation compared with endovascular interventions.
- Source :
-
Seminars in dialysis [Semin Dial] 2013 Jan-Feb; Vol. 26 (1), pp. 85-9. Date of Electronic Publication: 2012 Mar 09. - Publication Year :
- 2013
-
Abstract
- Due to high nonmaturation rates, arteriovenous fistulas (AVF) frequently require intervention(s) to promote maturation. Endovascular or surgical interventions are often undertaken to salvage nonmaturing AVFs. The objective of this study was to compare the impact of surgical versus endovascular interventions to promote AVF maturation on cumulative AVF survival. We evaluated 89 patients with new AVF placement from a Veterans Affairs population over a 5-year period. Of these, 46 (52%) required intervention(s) to achieve successful maturation for dialysis: 31 patients had surgical revisions and 15 patients had endovascular repairs. We compared cumulative survival between AVFs requiring no intervention, surgical revision, and endovascular intervention to promote AVF maturation. Cumulative survival was longer in AVFs receiving surgical intervention compared with angioplasty to promote AVF maturation (p = 0.05). One-year cumulative survival was 86% vs. 83% vs. 40% for no intervention vs. surgery vs. angioplasty, respectively. In AVFs that required interventions to promote maturation, AVFs with surgical intervention had longer cumulative survival compared with those AVFs with endovascular intervention. AVFs with surgical intervention to promote maturation had similar 1-year cumulative survival to those AVFs that did not require intervention to promote maturation.<br /> (© 2012 Wiley Periodicals, Inc.)
- Subjects :
- Aged
Arteriovenous Shunt, Surgical standards
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prognosis
Renal Dialysis standards
Retrospective Studies
Treatment Failure
Blood Vessel Prosthesis Implantation methods
Endovascular Procedures methods
Graft Occlusion, Vascular surgery
Renal Dialysis methods
Vascular Patency
Subjects
Details
- Language :
- English
- ISSN :
- 1525-139X
- Volume :
- 26
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Seminars in dialysis
- Publication Type :
- Academic Journal
- Accession number :
- 22404567
- Full Text :
- https://doi.org/10.1111/j.1525-139X.2012.01060.x