The Utility of Vascular Access Intervention via the Distal Radial Artery Approach in Hemodialysis Patients With Vascular Dysfunction

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2025-02-10 DOI:10.1111/hdi.13202

Shingo Watanabe, Ryo Masuda, Michio Usui

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引用次数: 0

Abstract

Background

Although case reports exist on vascular access intervention through the distal radial artery approach, there is a dearth of clinical studies reporting its safety and clinical outcomes. This study aimed to investigate the safety and long-term outcomes of vascular access intervention utilizing the distal radial artery approach.

Methods

Patients who underwent forearm arteriovenous fistula vascular access intervention at our hospital were divided into two groups: The distal radial artery approach (DRA group, N = 46) and the outflow vein approach (Vein group, N = 122). Patient characteristics, procedure results (procedure success rate, contrast medium dose, fluoroscopy dose), and one-year primary patency rates were compared between the two groups.

Findings

The procedure success rate was 100% in both groups. The DRA group demonstrated significantly lower contrast medium dose, fluoroscopy dose, and fluoroscopy time compared to the Vein group. No bleeding complications, arterial occlusion, or steal syndrome occurred in the DRA group. There was no significant difference in the one-year primary patency rate between the two groups.

Discussion

Vascular access intervention utilizing the distal radial artery approach offers benefits in reducing contrast medium and fluoroscopy dose compared to the outflow vein approach. Moreover, it demonstrates acceptable safety and patency rates.

查看原文本刊更多论文

经桡动脉远端入路介入血管通路在血液透析患者血管功能障碍中的应用。

背景：虽然有通过桡动脉远端入路介入血管通路的病例报道，但缺乏关于其安全性和临床结果的临床研究。本研究旨在探讨桡动脉远端入路血管通路干预的安全性和长期结果。方法：将我院行前臂动静脉瘘血管介入治疗的患者分为桡动脉远端入路（DRA组，N = 46）和流出静脉入路（静脉组，N = 122）两组。比较两组患者特征、手术结果（手术成功率、造影剂剂量、透视剂量）和1年原发性通畅率。结果：两组手术成功率均为100%。与静脉组相比，DRA组的造影剂剂量、透视剂量和透视时间均明显降低。DRA组无出血并发症、动脉闭塞、偷盗综合征发生。两组1年一期通畅率无显著差异。讨论：与流出静脉入路相比，利用桡动脉远端入路进行血管介入治疗在减少造影剂和透视剂量方面具有优势。此外，它显示出可接受的安全性和通畅率。

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.