Use of a novel tapered, scoring balloon to treat juxta-anastomotic stenosis in AV fistula.

IF 1.7 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2024-11-01 Epub Date: 2023-08-31 DOI:10.1177/11297298231195730

Xiangjie Li, Zhe Wang, Xia Zhao, Hao Sun, Qining Fu

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引用次数: 0

Abstract

Background: Juxta-anastomotic stenosis, the most common lesion in arteriovenous fistula, creates a dilemma for optimal balloon size choosing during PTA.

Objectives: To descript the effect of a novel tapered scoring balloon catheter (DK Medtech, Suzhou, China) which has a conical shape with an increasing diameter from the front part of the balloon to the end, and three non-slip elements attached on the surface of the balloon.

Research design: Case series of 10 patients used this balloon catheter was retrospectively analyzed.

Subjects: Patients with juxta-anastomotic stenosis.

Measures: A retrospective review of 10 cases using the novel tapered, scoring balloon catheter in our center was performed.

Results: All cases were clinical technique success. The average total procedure time was 16.7 min with 2:14 of fluoroscopy time. No complications such as vascular rupture or dissection occurred. The primary patency rates at 6 and 12 month were 80% and 50% separately.

Conclusions: This tapered scoring balloon provides an economical, safe, and efficient management for juxta-anastomotic stenosis.

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使用新型锥形刻痕球囊治疗动静脉瘘吻合口狭窄。

背景：并行吻合口狭窄是动静脉瘘中最常见的病变，它给 PTA 过程中选择最佳球囊尺寸带来了难题：描述一种新型锥形刻痕球囊导管（DK Medtech，中国苏州）的效果。该球囊为圆锥形，直径从球囊前端到末端逐渐增大，球囊表面附有三个防滑元件：研究设计：对使用这种球囊导管的 10 例患者进行回顾性分析：措施：回顾性分析使用该球囊导管的 10 例患者：结果：所有病例均获得临床技术成功：结果：所有病例均获得临床技术成功。平均手术时间为 16.7 分钟，透视时间为 2:14。无血管破裂或夹层等并发症发生。6个月和12个月的主要通畅率分别为80%和50%：结论：这种锥形刻痕球囊能经济、安全、有效地治疗并吻合口狭窄。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.