Transjugular approach in aspiration thrombectomy and angioplasty of a thrombosed straight arteriovenous graft compared to the direct hemodialysis access approach

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2024-03-13 DOI:10.1111/hdi.13142

JungWon Kwak, Sung Bum Cho, Heungman Jun, Hwan Hoon Chung, Sung-Joon Park, Tae-Seok Seo, Woo Jin Yang

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引用次数: 0

Abstract

Purpose

To evaluate the efficacy and outcome of the transjugular approach in endovascular recanalization of a thrombosed straight arteriovenous graft (AVG) compared to those of the direct hemodialysis access approach (conventional approach).

Materials and Methods

We retrospectively assessed patients who underwent aspiration thrombectomy and percutaneous transluminal angioplasty for thrombosed straight AVG performed at a single institution between October 2006 and October 2021. A total of 138 thrombosed AVGs in 83 patients (39 male and 44 females) were divided into the transjugular approach group (Group A) and the conventional approach group (Group B). Technical and clinical success, postintervention primary patency, cumulative patency, and periprocedural complications were compared.

Results

There was no statistical difference in demographic data between groups A and B. The technical success rate of group A and B was 96.4% (80/83) and 98.2% 54/55, respectively (p > 0.05). The mean procedure time was 61.4 min (Group A) and 70.5 min (Group B) (p > 0.05). There was no statistically significant difference between the two groups in postintervention primary patency. The cumulative patency of Groups A and B was 911.9 days (range 122–6277) and 1062.3 days (range 72–2302 days), respectively (p > 0.05). One patient in Group B experienced a major graft rupture. Pseudoaneurysm formation at the sheath insertion site occurred in two patients in Group B. No cases of stenosis or thrombosis of the IJV or hematoma at the puncture site were observed in Group A.

Conclusion

The transjugular approach is as safe and effective as the conventional approach for aspiration thrombectomy and percutaneous transluminal angioplasty of thrombosed straight AVGs.

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经颈静脉方法与直接血液透析通路方法在血栓直动静脉移植抽吸血栓切除术和血管成形术中的比较。

目的：评估经颈静脉途径与直接血液透析通路途径（传统途径）相比，对血栓形成的直动静脉移植（AVG）进行血管内再通的疗效和结果：我们回顾性评估了 2006 年 10 月至 2021 年 10 月期间在一家医疗机构接受抽吸式血栓切除术和经皮腔内血管成形术治疗血栓性直动静脉移植的患者。83 名患者（39 名男性和 44 名女性）共 138 例血栓性 AVG 被分为经颈静脉入路组（A 组）和传统入路组（B 组）。比较了技术和临床成功率、介入后一次通畅率、累积通畅率和围术期并发症：A 组和 B 组的技术成功率分别为 96.4%（80/83）和 98.2%（54/55）（P > 0.05）。平均手术时间为 61.4 分钟（A 组）和 70.5 分钟（B 组）（P > 0.05）。两组干预后的主要通畅率差异无统计学意义。A 组和 B 组的累积通畅时间分别为 911.9 天（范围 122-6277）和 1062.3 天（范围 72-2302）（P > 0.05）。B 组的一名患者发生了严重的移植物破裂。A 组未观察到 IJV 狭窄或血栓形成或穿刺部位血肿的病例：结论：经颈静脉方法与传统方法一样，可安全有效地对血栓形成的直行动静脉畸形进行抽吸血栓切除术和经皮腔内血管成形术。

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

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.