Academic Journal
Juxta-anastomotic stenosis in the forearm native arteriovenous fistula: Open surgery or angioplasty?
| العنوان: | Juxta-anastomotic stenosis in the forearm native arteriovenous fistula: Open surgery or angioplasty? |
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| المؤلفون: | Dominijanni, Sara, Sfara, Germana, Tatangelo, Paola, Cancellieri, Roberto, Spinelli, Alessio, Centi, Alessia, Mariani, Ilaria, Ammirati, Luigi Maria, Marrone, Giulia, Mudoni, Anna, Noce, Annalisa, Palumbo, Roberto |
| المصدر: | The Journal of Vascular Access ; ISSN 1129-7298 1724-6032 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2024 |
| الوصف: | Background: The juxta-anastomotic stenosis (JAS) represents the major complication of arteriovenous fistula (AVF) during the first months after the surgery and the approach to JAS can be surgical or radiological. Methods: From 01/02/2016 to 31/12/2020, a total of 976 radiocephalic fistulas have been performed. The 15.9% of AVF was malfunctioned due to JAS. A retrospective analysis was conducted on 156 patients with JAS, in order to compare the primary outcome of surgery and percutaneous angioplasty (PTA) in JAS treatment, in the lower forearm in a follow-up of 24 months. Results: Ninety patients underwent to surgery and 66 to PTA, mean age was 63.43 ± 14.54 and 65.10 ± 15.10 years, respectively. Frequencies of diabetes mellitus and arterial hypertension were similar by groups. Cardiovascular disease was present in 20% of the surgery patients and in 42.4% PTA patients ( p = 0.04). The primary assisted patency was 84.4% and 71.1% in the surgery group at 12 and 24 months and 54.5% and 69.6% in the PTA group. The secondary patency at 24 months was 95.6% for surgery group and 96.9% for PTA group, without a statistical significance. During the study period, 10 AVFs (11.1%) showed a restenosis in the surgical group and 14 (21.2%) in the PTA group. Conclusions: This retrospective study suggests a higher restenosis rate after PTA than surgery. However, the statistical analysis shows that the failure rate of the two procedures is comparable. A dedicated multidisciplinary team could represent the goal for a good clinical practice in the treatment of JAS. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1177/11297298241293204 |
| الاتاحة: | https://doi.org/10.1177/11297298241293204 https://journals.sagepub.com/doi/pdf/10.1177/11297298241293204 https://journals.sagepub.com/doi/full-xml/10.1177/11297298241293204 |
| Rights: | https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| رقم الانضمام: | edsbas.FDF1DCE7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/11297298241293204 |
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