Outcome and Feasability of Endovascular Techniques as an Option in Management of Failing AVF in Hemodialysis Patients
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- Category: Vol. 85, September 2017
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Outcome and Feasability of Endovascular Techniques as an Option in Management of Failing AVF in Hemodialysis Patients, MOHAMED SABRY, MOHAMED SHARKAWY, HESHAM MOSTAFA, AHMED SAMIR HOSNEY and MAHER A. MAHDY
Abstract
Purpose: Autologous A-V fistulas are the recommended access for long term dialysis in chronic renal failure patients. However, the rate of failure still significant. The present study aimed at salvaging fistulas using Percutaneous Transluminal balloon Angioplasty (PTA).
Patients and Methods: One hundred patients presented with failing or failed arteriovenous fistulas were included, and they were treated by PTA to restore patency and flow across the fistulas and in the vein.
Results: The salvage rate reached 93% in which the fistulas regained their usability for hemodialysis, primary patency rates after angioplasty at 3, 6, 9, 12, 18 and 24 months were 96.7%, 90.3%, 80.6%, 77.4%, 65.5% and 51.6% respectively.
Conclusion: An endovascular approach is a feasible modality to salvage failed and failing AVF with good outcome as regarding primary and secondary patency.