The Role of Drug-Coated Balloon in Haemodialysis Arteriovenous Fistula Stenosis Management

Overview

Journal Cardiovasc Intervent Radiol

Specialty Cardiology & Vascular Diseases

Date 2023 Jul 6

PMID 37414842

Authors

Kun Da Zhuang

Farah Gillan Irani

Apoorva Gogna

Chow Wei Too

Bien Soo Tan

Kiang Hiong Tay

Affiliations

Soon will be listed here.

Abstract

Arteriovenous fistula (AVF) stenosis is a common problem leading to dialysis access dysfunction. The conventional balloon (CB) is the most commonly used device during angioplasty but suffers from poor durability of results due to neointimal hyperplasia-mediated recurrence. The drug-coated balloon (DCB) is an adjunct to balloon angioplasty that reduces neointimal hyperplasia, thereby improving post-angioplasty patency. Despite the heterogeneity of DCB clinical trials to date, the evidence suggests that DCBs of different brands are not necessarily equal, and that patient selection, adequate lesion preparation and proper DCB procedural technique are important to realize the benefit of DCB angioplasty.

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References

Roy-Chaudhury P, Sukhatme V, Cheung A . Hemodialysis vascular access dysfunction: a cellular and molecular viewpoint. J Am Soc Nephrol. 2006; 17(4):1112-27. DOI: 10.1681/ASN.2005050615. View

Lookstein R, Haruguchi H, Ouriel K, Weinberg I, Lei L, Cihlar S . Drug-Coated Balloons for Dysfunctional Dialysis Arteriovenous Fistulas. N Engl J Med. 2020; 383(8):733-742. DOI: 10.1056/NEJMoa1914617. View

Holden A, Haruguchi H, Suemitsu K, Isogai N, Ross J, Hull J . IN.PACT AV Access Randomized Trial: 12-Month Clinical Results Demonstrating the Sustained Treatment Effect of Drug-Coated Balloons. J Vasc Interv Radiol. 2022; 33(8):884-894.e7. DOI: 10.1016/j.jvir.2022.03.606. View

Irani F, Teo T, Tay K, Yin W, Win H, Gogna A . Hemodialysis Arteriovenous Fistula and Graft Stenoses: Randomized Trial Comparing Drug-eluting Balloon Angioplasty with Conventional Angioplasty. Radiology. 2018; 289(1):238-247. DOI: 10.1148/radiol.2018170806. View

Bjorkman P, Weselius E, Kokkonen T, Rauta V, Alback A, Venermo M . Drug-Coated Versus Plain Balloon Angioplasty In Arteriovenous Fistulas: A Randomized, Controlled Study With 1-Year Follow-Up (The Drecorest Ii-Study). Scand J Surg. 2018; 108(1):61-66. DOI: 10.1177/1457496918798206. View

Maleux G, Vander Mijnsbrugge W, Henroteaux D, Laenen A, Cornelissen S, Claes K . Multicenter, Randomized Trial of Conventional Balloon Angioplasty versus Paclitaxel-Coated Balloon Angioplasty for the Treatment of Dysfunctioning Autologous Dialysis Fistulae. J Vasc Interv Radiol. 2018; 29(4):470-475.e3. DOI: 10.1016/j.jvir.2017.10.023. View

Trerotola S, Lawson J, Roy-Chaudhury P, Saad T . Drug Coated Balloon Angioplasty in Failing AV Fistulas: A Randomized Controlled Trial. Clin J Am Soc Nephrol. 2018; 13(8):1215-1224. PMC: 6086699. DOI: 10.2215/CJN.14231217. View

Trerotola S, Saad T, Roy-Chaudhury P . The Lutonix AV Randomized Trial of Paclitaxel-Coated Balloons in Arteriovenous Fistula Stenosis: 2-Year Results and Subgroup Analysis. J Vasc Interv Radiol. 2019; 31(1):1-14.e5. DOI: 10.1016/j.jvir.2019.08.035. View

Karunanithy N, Robinson E, Ahmad F, Burton J, Calder F, Coles S . A multicenter randomized controlled trial indicates that paclitaxel-coated balloons provide no benefit for arteriovenous fistulas. Kidney Int. 2021; 100(2):447-456. DOI: 10.1016/j.kint.2021.02.040. View

10.

Therasse E, Caty V, Gilbert P, Giroux M, Perreault P, Bouchard L . Safety and Efficacy of Paclitaxel-Eluting Balloon Angioplasty for Dysfunctional Hemodialysis Access: A randomized trial Comparing with Angioplasty Alone. J Vasc Interv Radiol. 2021; 32(3):350-359.e2. DOI: 10.1016/j.jvir.2020.10.030. View

11.

Pisoni R, Zepel L, Zhao J, Burke S, Lok C, Woodside K . International Comparisons of Native Arteriovenous Fistula Patency and Time to Becoming Catheter-Free: Findings From the Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2020; 77(2):245-254. DOI: 10.1053/j.ajkd.2020.06.020. View

12.

Schorn I, Malinoff H, Anderson S, Lecy C, Wang J, Giorgianni J . The Lutonix® drug-coated balloon: A novel drug delivery technology for the treatment of vascular disease. Adv Drug Deliv Rev. 2017; 112:78-87. DOI: 10.1016/j.addr.2017.05.015. View

13.

Karnabatidis D, Kitrou P, Ponce P, Chong T, Pietura R, Pegis J . A Multicenter Global Registry of Paclitaxel Drug-Coated Balloon in Dysfunctional Arteriovenous Fistulae and Grafts: 6-Month Results. J Vasc Interv Radiol. 2021; 32(3):360-368.e2. DOI: 10.1016/j.jvir.2020.11.018. View

14.

Bastian H, Glasziou P, Chalmers I . Seventy-five trials and eleven systematic reviews a day: how will we ever keep up?. PLoS Med. 2010; 7(9):e1000326. PMC: 2943439. DOI: 10.1371/journal.pmed.1000326. View

15.

Kennedy S, Mafeld S, Baerlocher M, Jaberi A, Rajan D . Drug-Coated Balloon Angioplasty in Hemodialysis Circuits: A Systematic Review and Meta-Analysis. J Vasc Interv Radiol. 2019; 30(4):483-494.e1. DOI: 10.1016/j.jvir.2019.01.012. View

16.

Salim S, Tran H, Thongprayoon C, Fulop T, Cheungpasitporn W . Comparison of drug-coated balloon angioplasty versus conventional angioplasty for arteriovenous fistula stenosis: Systematic review and meta-analysis. J Vasc Access. 2019; 21(3):357-365. DOI: 10.1177/1129729819878612. View

17.

Liao M, Chen M, Hsieh M, Yeh N, Chien K, Lin C . Drug-coated balloon versus conventional balloon angioplasty of hemodialysis arteriovenous fistula or graft: A systematic review and meta-analysis of randomized controlled trials. PLoS One. 2020; 15(4):e0231463. PMC: 7156061. DOI: 10.1371/journal.pone.0231463. View

18.

Fong K, Zhao J, Tan E, Syn N, Sultana R, Zhuang K . Drug Coated Balloons for Dysfunctional Haemodialysis Venous Access: A Patient Level Meta-Analysis of Randomised Controlled Trials. Eur J Vasc Endovasc Surg. 2021; 62(4):610-621. DOI: 10.1016/j.ejvs.2021.06.006. View

19.

Han A, Park T, Kim H, Min S, Ha J, Min S . Editor's Choice - Paclitaxel Coated Balloon Angioplasty vs. Plain Balloon Angioplasty for Haemodialysis Arteriovenous Access Stenosis: A Systematic Review and a Time to Event Meta-Analysis of Randomised Controlled Trials. Eur J Vasc Endovasc Surg. 2021; 62(4):597-609. DOI: 10.1016/j.ejvs.2021.05.043. View

20.

Luo C, Liang M, Liu Y, Zheng D, He Q, Jin J . Paclitaxel coated balloon versus conventional balloon angioplasty in dysfunctional dialysis arteriovenous fistula: a systematic review and meta-analysis of randomized controlled trials. Ren Fail. 2022; 44(1):155-170. PMC: 8856055. DOI: 10.1080/0886022X.2022.2029487. View