혈액투석용 요골동맥-요측부정맥 자가동정맥루 협착에 대한 경피적 경관 혈관성형술의 효과Effect of Percutaneous Transluminal Angioplasty on the Stenosis of Autogenous Radiocephalic Arteriovenous Fistula for Hemodialysis
- Other Titles
- Effect of Percutaneous Transluminal Angioplasty on the Stenosis of Autogenous Radiocephalic Arteriovenous Fistula for Hemodialysis
- Authors
- 정선민; 김정호; 변성수; 강진모; 최상태; 김종우; 김형식; 최혜영; 박재형
- Issue Date
- Feb-2016
- Publisher
- 대한영상의학회
- Keywords
- Arteriovenous Fistula; Stenosis; Percutaneous Transluminal Angioplasty; Complications Vascular Patency
- Citation
- 대한영상의학회지, v.74, no.2, pp.105 - 113
- Journal Title
- 대한영상의학회지
- Volume
- 74
- Number
- 2
- Start Page
- 105
- End Page
- 113
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/9558
- DOI
- 10.3348/jksr.2016.74.2.105
- ISSN
- 1738-2637
- Abstract
- Purpose: The purpose of this study was to evaluate the effectiveness of percutaneous transluminal angioplasty (PTA) on stenosis of autogenous radiocephalic arteriovenous fistula (RCF) for hemodialysis and to determine the factors influencing patency.
Materials and Methods: This retrospective study included 136 patients referred for PTA of RCF stenosis between March 2005 and July 2014. The technical success rate, complications, and patency rate were evaluated. The following factors were analyzed as they might influence patency: age, gender, site and duration of arteriovenous fistula, underlying disease, body mass index, hypercholesterolemia, smoking, peripheral artery or coronary artery occlusive disease, stenosis length/grade, cutting balloon, and balloon size.
Results: The initial technical success rate was 91.9% (125/136). Complications included vessel rupture (n = 2) and vessel dissection (n = 2). The patency rates at 6, 12, 24, and 48 months after PTA were 81.9, 67.1, 52.7, and 42.3%, respectively. The patency rate was higher in cases with longer (> 3 cm) stenosis (p = 0.04). Use of cutting balloon and larger size of balloon catheter made the patency longer, but this difference was not statistically significant (p = 0.637, 0.258).
Conclusion: PTA is a safe and effective way to manage stenosis in RCF. The length of stenosis was the only factor which affected the patency rate in this study.
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