[Endovascular treatment of dysfunctional haemodialysis fistulas].

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  • Additional Information
    • Transliterated Title:
      Endovaskulaer behandling af dysfungerende haemodialysefistle.
    • Source:
      Publisher: Den Alm Danske Laegerforening Country of Publication: Denmark NLM ID: 0141730 Publication Model: Print Cited Medium: Internet ISSN: 1603-6824 (Electronic) Linking ISSN: 00415782 NLM ISO Abbreviation: Ugeskr Laeger Subsets: MEDLINE
    • Publication Information:
      Original Publication: Copenhagen : Den Alm Danske Laegerforening
    • Subject Terms:
      Arteriovenous Shunt, Surgical*/adverse effects ; Renal Dialysis*; Adult ; Aged ; Aged, 80 and over ; Angiography, Digital Subtraction ; Angioplasty, Balloon, Coronary ; Female ; Forearm/blood supply ; Graft Occlusion, Vascular/diagnostic imaging ; Graft Occlusion, Vascular/etiology ; Graft Occlusion, Vascular/therapy ; Humans ; Male ; Middle Aged ; Thrombectomy ; Thrombosis/etiology ; Thrombosis/therapy ; Treatment Outcome ; Vascular Patency ; Young Adult
    • Abstract:
      Introduction: A native AV-fistula (AVF) is the first choice of access for haemodialysis. An important complication is thrombosis, which typically results from an underlying stenosis. In 2001, we introduced a surveillance program measuring the access flow (Qa). At the same time percutaneous transluminal angioplasty (PTA) was introduced as the first choice of treatment.
      Material and Methods: Qa was conducted in a routine monitoring programme. Flow rates below a preset value indicated patient referral for angiography, and if the angiography revealed a significant stenosis, PTA was performed. In the period from August 2001 to March 2004, 71 angioplasties were performed in 52 patients.
      Results: The technical success rate was 66/71 (93%). Clinically significant complications occurred at a rate of 3/71 (4%). The 2-year primary patency rate was 36% and the primary assisted patency rate was 67%.
      Conclusion: PTA in native haemodialysis fistulas was implemented. The rates of technical success, complications and patency were comparable with those recorded in the literature.
    • Publication Date:
      Date Created: 20090109 Date Completed: 20090220 Latest Revision: 20161124
    • Publication Date:
      20231215
    • Accession Number:
      19128566