Manual compression technique improves the success rate in the treatment of thrombosed aneurysmal arteriovenous fistula: A single-center experience.

IF 1.4 4区医学 Q3 UROLOGY & NEPHROLOGY

Seminars in Dialysis Pub Date : 2023-09-01 DOI:10.1111/sdi.13127

Cheng-Yu Ko, Li-Ying Yu, Po-Wei Chen, Chih-Chang Ko, Tian-Xi Lin, Cheng-Han Lee, Ping-Yen Liu, Hsien-Yuan Chang

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引用次数: 0

Abstract

Objective: Endovascular intervention for thrombosed aneurysmal arteriovenous fistula (AVF) is still a challenge. Manual compression technique (MCT)-assisted angioplasty may be helpful, but there is no evidence or data to support it.

Methods: From January 2018 to May 2021, patients with thrombosed aneurysmal AVFs were retrospectively enrolled. The patients were separated into the MCT group or the traditional group according to the procedure received. Technical failure, clinical failure, 90-day patency, and safety were analyzed.

Results: A total of 159 cases (64 ± 12 years old, 60% male) were enrolled, of which 87 cases received MCT and 72 underwent traditional angioplasty. No technical failure was observed in the MCT group, while five technical failures were observed in the traditional group (0% vs. 7%, p = 0.02). There were no differences in the clinical failure rate (3% vs. 7%, p = 0.30), 90-day patency rate, or procedure time between the MCT group and the traditional group. There was no symptomatic pulmonary embolism or other complication in the two groups.

Conclusion: MCT is a low-cost, less invasive, and safe procedure for thrombosed aneurysmal AVF, and it achieves a higher technical success rate than traditional angioplasty.

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手工加压技术提高血栓性动脉瘤动静脉瘘治疗的成功率:单中心经验。

目的:血栓性动脉瘤动静脉瘘(AVF)的血管内介入治疗仍是一个挑战。手动加压技术(MCT)辅助血管成形术可能有帮助，但没有证据或数据支持。方法:从2018年1月至2021年5月，回顾性纳入血栓性动脉瘤性avf患者。根据所接受的治疗方法将患者分为MCT组和传统组。分析技术失败、临床失败、90天通畅及安全性。结果:共入组159例(64±12岁，男性占60%)，其中行MCT 87例，行传统血管成形术72例。MCT组无技术失败，而传统组有5例技术失败(0% vs. 7%， p = 0.02)。MCT组与传统组在临床失败率(3% vs. 7%， p = 0.30)、90天通畅率或手术时间方面均无差异。两组患者均未出现症状性肺栓塞及其他并发症。结论:MCT是一种低成本、微创、安全的治疗血栓性动脉瘤性AVF的方法，其技术成功率高于传统的血管成形术。

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

Seminars in Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.