Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology
Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology. We studied the feasibility, technical problems, safety, and effectiveness of percutaneous declotting of thrombosed native arteriovenous fistulae for hemodialysis. Between 1992 and 1998, 93 declotting proc...
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| Veröffentlicht in: | Kidney international 2000-03, Vol.57 (3), p.1124-1140 |
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| creator | Turmel-Rodrigues, Luc Pengloan, Josette Rodrigue, Hervé Brillet, Georges Lataste, Anne Pierre, Dominique Jourdan, Jean-Louis Blanchard, Didier |
| description | Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology.
We studied the feasibility, technical problems, safety, and effectiveness of percutaneous declotting of thrombosed native arteriovenous fistulae for hemodialysis.
Between 1992 and 1998, 93 declotting procedures were performed in 73 consecutive upper limb native fistulae (forearm 56 and upper arm 17), and 162 procedures were performed in 78 prosthetic grafts using manual catheter-directed thromboaspiration, with or without previous urokinase infusion. Detection of restenosis by clinical surveillance led to redilation or stent placement. Rethromboses in four forearm and six upper arm fistulae were treated by 20 further declottings by aspiration.
The initial success was 93% in the forearm and 76% in the upper arm (99% in grafts). The complications included one pulmonary embolism, one acute pseudoaneurysm, and one blood depletion requiring transfusion. Primary patency rates at one year were 49% in the forearm and 9% in the upper arm (14% in grafts). Secondary patency rates were 81 and 50% at one year, respectively (83% in grafts). Reinterventions were necessary every 19.6 months in the forearm and every 5.7 months in the upper arm (every 6.4 months in grafts, P < 0.05). Stents were placed in 11% of forearm fistulae and in 41% of upper arm fistulae (45% of grafts) for treatment of acute rupture (5 out of 19), stenosis recoil (6 out of 19), and early ( |
| doi_str_mv | 10.1046/j.1523-1755.2000.00940.x |
| format | Article |
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We studied the feasibility, technical problems, safety, and effectiveness of percutaneous declotting of thrombosed native arteriovenous fistulae for hemodialysis.
Between 1992 and 1998, 93 declotting procedures were performed in 73 consecutive upper limb native fistulae (forearm 56 and upper arm 17), and 162 procedures were performed in 78 prosthetic grafts using manual catheter-directed thromboaspiration, with or without previous urokinase infusion. Detection of restenosis by clinical surveillance led to redilation or stent placement. Rethromboses in four forearm and six upper arm fistulae were treated by 20 further declottings by aspiration.
The initial success was 93% in the forearm and 76% in the upper arm (99% in grafts). The complications included one pulmonary embolism, one acute pseudoaneurysm, and one blood depletion requiring transfusion. Primary patency rates at one year were 49% in the forearm and 9% in the upper arm (14% in grafts). Secondary patency rates were 81 and 50% at one year, respectively (83% in grafts). Reinterventions were necessary every 19.6 months in the forearm and every 5.7 months in the upper arm (every 6.4 months in grafts, P < 0.05). Stents were placed in 11% of forearm fistulae and in 41% of upper arm fistulae (45% of grafts) for treatment of acute rupture (5 out of 19), stenosis recoil (6 out of 19), and early (<6 months) recurring stenosis (8 out of 19).
The percutaneous declotting of forearm fistulae by manual catheter-directed thromboaspiration was effective in more than 90% of cases and yielded 50% primary and 80% secondary patency rates at one year. The results were poorer in upper arm fistulae. The need for maintenance reinterventions was three times smaller in forearm fistulae than in upper arm fistulae and grafts.</description><identifier>ISSN: 0085-2538</identifier><identifier>EISSN: 1523-1755</identifier><identifier>DOI: 10.1046/j.1523-1755.2000.00940.x</identifier><identifier>PMID: 10720965</identifier><identifier>CODEN: KDYIA5</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Angiography ; Arm - blood supply ; Arteriovenous Shunt, Surgical - adverse effects ; Biological and medical sciences ; Cardiovascular system ; Catheterization ; Catheters, Indwelling - adverse effects ; Emergency and intensive care: renal failure. Dialysis management ; Female ; fistula ; Forearm - blood supply ; Humans ; Inhalation ; Intensive care medicine ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; prostheses ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiology, Interventional - methods ; Retreatment ; shunts ; thrombectomy ; Thrombosis - etiology ; Thrombosis - therapy ; transluminal angioplasty ; Treatment Failure</subject><ispartof>Kidney international, 2000-03, Vol.57 (3), p.1124-1140</ispartof><rights>2000 International Society of Nephrology</rights><rights>2000 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Mar 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c533t-fd407b969fb3a5897fb9306d30b995054c526bf710a9026363cf6a9aa86d06193</citedby><cites>FETCH-LOGICAL-c533t-fd407b969fb3a5897fb9306d30b995054c526bf710a9026363cf6a9aa86d06193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/210108394?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925,64385,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1284425$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10720965$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turmel-Rodrigues, Luc</creatorcontrib><creatorcontrib>Pengloan, Josette</creatorcontrib><creatorcontrib>Rodrigue, Hervé</creatorcontrib><creatorcontrib>Brillet, Georges</creatorcontrib><creatorcontrib>Lataste, Anne</creatorcontrib><creatorcontrib>Pierre, Dominique</creatorcontrib><creatorcontrib>Jourdan, Jean-Louis</creatorcontrib><creatorcontrib>Blanchard, Didier</creatorcontrib><title>Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology</title><title>Kidney international</title><addtitle>Kidney Int</addtitle><description>Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology.
We studied the feasibility, technical problems, safety, and effectiveness of percutaneous declotting of thrombosed native arteriovenous fistulae for hemodialysis.
Between 1992 and 1998, 93 declotting procedures were performed in 73 consecutive upper limb native fistulae (forearm 56 and upper arm 17), and 162 procedures were performed in 78 prosthetic grafts using manual catheter-directed thromboaspiration, with or without previous urokinase infusion. Detection of restenosis by clinical surveillance led to redilation or stent placement. Rethromboses in four forearm and six upper arm fistulae were treated by 20 further declottings by aspiration.
The initial success was 93% in the forearm and 76% in the upper arm (99% in grafts). The complications included one pulmonary embolism, one acute pseudoaneurysm, and one blood depletion requiring transfusion. Primary patency rates at one year were 49% in the forearm and 9% in the upper arm (14% in grafts). Secondary patency rates were 81 and 50% at one year, respectively (83% in grafts). Reinterventions were necessary every 19.6 months in the forearm and every 5.7 months in the upper arm (every 6.4 months in grafts, P < 0.05). Stents were placed in 11% of forearm fistulae and in 41% of upper arm fistulae (45% of grafts) for treatment of acute rupture (5 out of 19), stenosis recoil (6 out of 19), and early (<6 months) recurring stenosis (8 out of 19).
The percutaneous declotting of forearm fistulae by manual catheter-directed thromboaspiration was effective in more than 90% of cases and yielded 50% primary and 80% secondary patency rates at one year. The results were poorer in upper arm fistulae. The need for maintenance reinterventions was three times smaller in forearm fistulae than in upper arm fistulae and grafts.</description><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Angiography</subject><subject>Arm - blood supply</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Catheterization</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Female</subject><subject>fistula</subject><subject>Forearm - blood supply</subject><subject>Humans</subject><subject>Inhalation</subject><subject>Intensive care medicine</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>prostheses</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiology, Interventional - methods</subject><subject>Retreatment</subject><subject>shunts</subject><subject>thrombectomy</subject><subject>Thrombosis - etiology</subject><subject>Thrombosis - therapy</subject><subject>transluminal angioplasty</subject><subject>Treatment Failure</subject><issn>0085-2538</issn><issn>1523-1755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkEtv1DAUhS0EotPCTwBZiG3CdfxIvIQKClIlNmWL5fgBHmXiYjujzr_HIaPCjtVdnO9cHX0IYQItASbe7VvCO9qQnvO2A4AWQDJoH56g3WPwFO0ABt50nA4X6DLnfQUHSeE5uiDQdyAF36Hvd8npcnBzwdFjr8PkLJ51CUeHdSouhXh0c1wy9iGXZdIO-5jwT3eINujplEPG4wmHuaIVLCHOesJJ2xCn-OP0Aj3zesru5fleoW-fPt5df25uv958uX5_2xhOaWm8ZdCPUkg_Us0H2fuxDhWWwiglB84M78ToewJaQieooMYLLbUehAVBJL1Cb7a_9yn-Wlwuah-XVKdk1REgMFDJKjRskEkx5-S8uk_hoNNJEVCrV7VXqz616lOrV_XHq3qo1dfn_8t4cPaf4iayAm_PgM5GTz7p2YT8l-sGxroVe7VhVfGS3GPOmCSMrhM_bLmrso7BJZVNcLNxNiRnirIx_H_sb57QoLc</recordid><startdate>20000301</startdate><enddate>20000301</enddate><creator>Turmel-Rodrigues, Luc</creator><creator>Pengloan, Josette</creator><creator>Rodrigue, Hervé</creator><creator>Brillet, Georges</creator><creator>Lataste, Anne</creator><creator>Pierre, Dominique</creator><creator>Jourdan, Jean-Louis</creator><creator>Blanchard, Didier</creator><general>Elsevier Inc</general><general>Nature Publishing</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20000301</creationdate><title>Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology</title><author>Turmel-Rodrigues, Luc ; Pengloan, Josette ; Rodrigue, Hervé ; Brillet, Georges ; Lataste, Anne ; Pierre, Dominique ; Jourdan, Jean-Louis ; Blanchard, Didier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-fd407b969fb3a5897fb9306d30b995054c526bf710a9026363cf6a9aa86d06193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Angiography</topic><topic>Arm - blood supply</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Catheterization</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Female</topic><topic>fistula</topic><topic>Forearm - blood supply</topic><topic>Humans</topic><topic>Inhalation</topic><topic>Intensive care medicine</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>prostheses</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiology, Interventional - methods</topic><topic>Retreatment</topic><topic>shunts</topic><topic>thrombectomy</topic><topic>Thrombosis - etiology</topic><topic>Thrombosis - therapy</topic><topic>transluminal angioplasty</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turmel-Rodrigues, Luc</creatorcontrib><creatorcontrib>Pengloan, Josette</creatorcontrib><creatorcontrib>Rodrigue, Hervé</creatorcontrib><creatorcontrib>Brillet, Georges</creatorcontrib><creatorcontrib>Lataste, Anne</creatorcontrib><creatorcontrib>Pierre, Dominique</creatorcontrib><creatorcontrib>Jourdan, Jean-Louis</creatorcontrib><creatorcontrib>Blanchard, Didier</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Kidney international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turmel-Rodrigues, Luc</au><au>Pengloan, Josette</au><au>Rodrigue, Hervé</au><au>Brillet, Georges</au><au>Lataste, Anne</au><au>Pierre, Dominique</au><au>Jourdan, Jean-Louis</au><au>Blanchard, Didier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology</atitle><jtitle>Kidney international</jtitle><addtitle>Kidney Int</addtitle><date>2000-03-01</date><risdate>2000</risdate><volume>57</volume><issue>3</issue><spage>1124</spage><epage>1140</epage><pages>1124-1140</pages><issn>0085-2538</issn><eissn>1523-1755</eissn><coden>KDYIA5</coden><abstract>Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology.
We studied the feasibility, technical problems, safety, and effectiveness of percutaneous declotting of thrombosed native arteriovenous fistulae for hemodialysis.
Between 1992 and 1998, 93 declotting procedures were performed in 73 consecutive upper limb native fistulae (forearm 56 and upper arm 17), and 162 procedures were performed in 78 prosthetic grafts using manual catheter-directed thromboaspiration, with or without previous urokinase infusion. Detection of restenosis by clinical surveillance led to redilation or stent placement. Rethromboses in four forearm and six upper arm fistulae were treated by 20 further declottings by aspiration.
The initial success was 93% in the forearm and 76% in the upper arm (99% in grafts). The complications included one pulmonary embolism, one acute pseudoaneurysm, and one blood depletion requiring transfusion. Primary patency rates at one year were 49% in the forearm and 9% in the upper arm (14% in grafts). Secondary patency rates were 81 and 50% at one year, respectively (83% in grafts). Reinterventions were necessary every 19.6 months in the forearm and every 5.7 months in the upper arm (every 6.4 months in grafts, P < 0.05). Stents were placed in 11% of forearm fistulae and in 41% of upper arm fistulae (45% of grafts) for treatment of acute rupture (5 out of 19), stenosis recoil (6 out of 19), and early (<6 months) recurring stenosis (8 out of 19).
The percutaneous declotting of forearm fistulae by manual catheter-directed thromboaspiration was effective in more than 90% of cases and yielded 50% primary and 80% secondary patency rates at one year. The results were poorer in upper arm fistulae. The need for maintenance reinterventions was three times smaller in forearm fistulae than in upper arm fistulae and grafts.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10720965</pmid><doi>10.1046/j.1523-1755.2000.00940.x</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Angiography Arm - blood supply Arteriovenous Shunt, Surgical - adverse effects Biological and medical sciences Cardiovascular system Catheterization Catheters, Indwelling - adverse effects Emergency and intensive care: renal failure. Dialysis management Female fistula Forearm - blood supply Humans Inhalation Intensive care medicine Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Prospective Studies prostheses Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiology, Interventional - methods Retreatment shunts thrombectomy Thrombosis - etiology Thrombosis - therapy transluminal angioplasty Treatment Failure |
| title | Treatment of failed native arteriovenous fistulae for hemodialysis by interventional radiology |
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