Balloon-assisted Maturation for Arteriovenous Fistula Maturation Failure: an Early Period Experience

Overview

Journal Ann Surg Treat Res

Specialty General Surgery

Date 2016 May 18

PMID 27186572

Citations 7

Authors

Sun Cheol Park

Seung Yeon Ko

Ji Il Kim

In Sung Moon

Sang Dong Kim

Affiliations

Soon will be listed here.

Abstract

Purpose: Balloon-assisted maturation (BAM) is emerging as a salvage management for arteriovenous fistula maturation failure (AVF MF). However, BAM is a relatively new, yet controversial technique for AVF maturation. Therefore, we evaluated the effectiveness of BAM for AVF MF.

Methods: Between January 2012 and December 2014, 249 AVFs were created. The total MF rate was 24.8%. But, only 110 AVFs were enrolled, including 74 brachiocephalic (BC) AVFs and 36 radiocephalic (RC) AVFs. The follow-up period was 12 months. Among those, there were 42 MFs (22 BC AVFs and 20 RC AVFs) and 68 maturation successes (MS) (52 BC AVFs and 16 RC AVFs). BAM was involved in MF group. We compared the clinical characteristics, AVF flows, and AVF flow ratios of MF and MS groups. Also, we evaluated the etiology, management, and result of MF.

Results: There was no difference in clinical characteristics between MF and MS groups. In MF group, 39 balloon angioplasties (BAs) for 42 AVF MFs were performed. Number of BA was 1.45 ± 0.57 and duration of BA was 21.30 ± 21.24 weeks. BAM rate was 46.2%. For 1 year after AVF creation, AVF flows of MS group were significantly larger than those of MF group (P < 0.05) but there was no difference in AVF flow ratio between MF and MS groups (P > 0.05).

Conclusion: BA for AVF MF is a relatively applicable and effective modality. Although a large volume study is necessary, we suggest BAM is an effective salvage management for AVF MF.

Citing Articles

Improved Ultrasound-Guided Balloon-Assisted Maturation Angioplasty Using Drug-Eluting Balloons in the First Autogenous Arteriovenous Fistula Procedure: Early Experience.

Mirabella D, Dinoto E, Rodriquenz E, Bellomo M, Micciche A, Annicchiarico P Biomedicines. 2024; 12(5).

PMID: 38790967 PMC: 11118221. DOI: 10.3390/biomedicines12051005.

Staged angioplasty using a full-length balloon catheter to achieve maturation of arteriovenous fistulas.

Bae M, Jeon C, Chung S, Lee C, Huh U, Kim J Diagn Interv Radiol. 2024; 31(1):45-51.

PMID: 38738746 PMC: 11701698. DOI: 10.4274/dir.2024.232607.

Effect of primary balloon angioplasty on draining vein diameter and volume flow in patients with arteriovenous fistula: A cohort study.

Suhartono R, Suhendro , Rahardjo H, Harahap A, Arif Mochtar C, Muradi A Ann Med Surg (Lond). 2022; 81:104426.

PMID: 36147101 PMC: 9486621. DOI: 10.1016/j.amsu.2022.104426.

Better Efficacy of Balloon Assisted Maturation in Radial-Cephalic Arteriovenous Fistula for Hemodialysis.

Kim H, Han A, Ahn S, Ko H, Chung C, Choi K Vasc Specialist Int. 2021; 37(1):29-36.

PMID: 33795551 PMC: 8021496. DOI: 10.5758/vsi.210003.

Salvage of Suboptimal or Occluded Arteriovenous Fistulas Using a 4 French System From the Radial Artery for Initial Balloon Angioplasty Maturations.

Voto C, Panetta T Cureus. 2021; 13(2):e13446.

PMID: 33767930 PMC: 7982301. DOI: 10.7759/cureus.13446.

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