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Radial Artery Approach to Salvage Nonmaturing Radiocephalic Arteriovenous Fistulas
- Source :
- CardioVascular and Interventional Radiology. 36:957-963
- Publication Year :
- 2012
- Publisher :
- Springer Science and Business Media LLC, 2012.
-
Abstract
- To evaluate the usefulness of an approach through the radial artery distal to the arteriovenous anastomosis for salvaging nonmaturing radiocephalic arteriovenous fistulas. Procedures that fulfilled the following criteria were retrospectively reviewed: (1) autogenous radiocephalic fistulas, (2) fistulas less than 3 months old, (3) distal radial artery approach for salvage. From 2005 to 2011, a total of 51 patients fulfilling the above criteria were enrolled. Outcome variables were obtained from angiographic, clinical and hemodialysis records, including the success, complication, and primary and secondary patency rates. The overall anatomical and clinical success rates for the distal radial artery approach were 96 and 94 %, respectively. The average procedure time was 36 ± 19 min. Six patients (12 %) experienced minor complications as a result of extravasations. No arterial complication or puncture site complication was noted. The postinterventional 6-month primary patency rate was 51 %, and the 6-month secondary patency rate was 90 %. When the patients were divided into a stenosed group (20 patients) and an occluded group (31 patients), there were no differences in the success rate, complication rate, or primary and secondary patency rates. An approach through the radial artery distal to the arteriovenous anastomosis is an effective and safe alternative for the salvage of nonmaturing radiocephalic arteriovenous fistulas, even for occluded fistulas.
- Subjects :
- Male
medicine.medical_specialty
Arteriovenous Anastomosis
medicine.medical_treatment
Arteriovenous fistula
Kaplan-Meier Estimate
Risk Assessment
Clinical success
Statistics, Nonparametric
Cohort Studies
Arteriovenous Shunt, Surgical
Renal Dialysis
Angioplasty
medicine.artery
medicine
Humans
Radiology, Nuclear Medicine and imaging
Radial artery
Vascular Patency
Aged
Retrospective Studies
Procedure time
Salvage Therapy
business.industry
Endovascular Procedures
Angiography
Graft Occlusion, Vascular
Middle Aged
medicine.disease
Surgery
Survival Rate
Treatment Outcome
Arteriovenous Fistula
Radial Artery
Female
Radiology
Hemodialysis
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
Complication
business
Vascular Access Devices
Follow-Up Studies
Subjects
Details
- ISSN :
- 1432086X and 01741551
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- CardioVascular and Interventional Radiology
- Accession number :
- edsair.doi.dedup.....05e256a6f6da5385648a34dd71fd4101