Yi Fan, Xuyang Luo, Xudong Wang, Huan Luo, Jiaojiao Du, Junjie Mou, Liqin Lin, Fei Deng
{"title":"维持性血液透析患者动静脉瘘经皮腔内血管成形术后再狭窄危险因素荟萃分析。","authors":"Yi Fan, Xuyang Luo, Xudong Wang, Huan Luo, Jiaojiao Du, Junjie Mou, Liqin Lin, Fei Deng","doi":"10.1016/j.avsg.2025.08.033","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate risk factors for restenosis after percutaneous transluminal angioplasty (PTA) in arteriovenous fistulas (AVFs) of maintenance hemodialysis (MHD) patients.</p><p><strong>Methods: </strong>This systematic review, prospectively registered on PROSPERO (CRD420250631715), identified studies investigating factors influencing AVF patency after PTA in MHD patients. Databases including PubMed, Embase, CNKI, CBM, and the Chinese Scientific Journal Database were searched from inception to January 2025. Study quality was assessed using the Newcastle-Ottawa Scale (NOS), and meta-analyses were performed using STATA 18.0.</p><p><strong>Results: </strong>Fourteen studies involving 2,257 participants were included in the meta-analysis. The pooled results demonstrated diabetes mellitus (HR=1.18, 95% CI: 1.03∼1.36, P=0.016), upper-arm AVF location (OR=1.67, 95% CI: 1.33∼2.10, P<0.0001), stenosis length >2 cm (OR=1.50, 95% CI: 1.11∼2.02, P=0.008), and multiple stenosis lesions (OR=1.53, 95% CI: 1.24∼1.89, P<0.0001) as significant risk factors for restenosis following PTA in MHD patients.</p><p><strong>Conclusion: </strong>Age, BMI, sex and AVF vintage were not identified as significant risk factors for restenosis. However, diabetes mellitus,upper-arm AVF location, stenosis length >2 cm, and multiple stenosis lesions emerged as statistically significant predictors.</p>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Meta-Analysis of Risk Factors for Restenosis Following Percutaneous Transluminal Angioplasty in Arteriovenous Fistulas of Maintenance Hemodialysis Patients.\",\"authors\":\"Yi Fan, Xuyang Luo, Xudong Wang, Huan Luo, Jiaojiao Du, Junjie Mou, Liqin Lin, Fei Deng\",\"doi\":\"10.1016/j.avsg.2025.08.033\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To systematically evaluate risk factors for restenosis after percutaneous transluminal angioplasty (PTA) in arteriovenous fistulas (AVFs) of maintenance hemodialysis (MHD) patients.</p><p><strong>Methods: </strong>This systematic review, prospectively registered on PROSPERO (CRD420250631715), identified studies investigating factors influencing AVF patency after PTA in MHD patients. Databases including PubMed, Embase, CNKI, CBM, and the Chinese Scientific Journal Database were searched from inception to January 2025. Study quality was assessed using the Newcastle-Ottawa Scale (NOS), and meta-analyses were performed using STATA 18.0.</p><p><strong>Results: </strong>Fourteen studies involving 2,257 participants were included in the meta-analysis. The pooled results demonstrated diabetes mellitus (HR=1.18, 95% CI: 1.03∼1.36, P=0.016), upper-arm AVF location (OR=1.67, 95% CI: 1.33∼2.10, P<0.0001), stenosis length >2 cm (OR=1.50, 95% CI: 1.11∼2.02, P=0.008), and multiple stenosis lesions (OR=1.53, 95% CI: 1.24∼1.89, P<0.0001) as significant risk factors for restenosis following PTA in MHD patients.</p><p><strong>Conclusion: </strong>Age, BMI, sex and AVF vintage were not identified as significant risk factors for restenosis. However, diabetes mellitus,upper-arm AVF location, stenosis length >2 cm, and multiple stenosis lesions emerged as statistically significant predictors.</p>\",\"PeriodicalId\":8061,\"journal\":{\"name\":\"Annals of vascular surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of vascular surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.avsg.2025.08.033\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PERIPHERAL VASCULAR DISEASE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of vascular surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.avsg.2025.08.033","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
A Meta-Analysis of Risk Factors for Restenosis Following Percutaneous Transluminal Angioplasty in Arteriovenous Fistulas of Maintenance Hemodialysis Patients.
Objective: To systematically evaluate risk factors for restenosis after percutaneous transluminal angioplasty (PTA) in arteriovenous fistulas (AVFs) of maintenance hemodialysis (MHD) patients.
Methods: This systematic review, prospectively registered on PROSPERO (CRD420250631715), identified studies investigating factors influencing AVF patency after PTA in MHD patients. Databases including PubMed, Embase, CNKI, CBM, and the Chinese Scientific Journal Database were searched from inception to January 2025. Study quality was assessed using the Newcastle-Ottawa Scale (NOS), and meta-analyses were performed using STATA 18.0.
Results: Fourteen studies involving 2,257 participants were included in the meta-analysis. The pooled results demonstrated diabetes mellitus (HR=1.18, 95% CI: 1.03∼1.36, P=0.016), upper-arm AVF location (OR=1.67, 95% CI: 1.33∼2.10, P<0.0001), stenosis length >2 cm (OR=1.50, 95% CI: 1.11∼2.02, P=0.008), and multiple stenosis lesions (OR=1.53, 95% CI: 1.24∼1.89, P<0.0001) as significant risk factors for restenosis following PTA in MHD patients.
Conclusion: Age, BMI, sex and AVF vintage were not identified as significant risk factors for restenosis. However, diabetes mellitus,upper-arm AVF location, stenosis length >2 cm, and multiple stenosis lesions emerged as statistically significant predictors.
期刊介绍：
Annals of Vascular Surgery, published eight times a year, invites original manuscripts reporting clinical and experimental work in vascular surgery for peer review. Articles may be submitted for the following sections of the journal:
Clinical Research (reports of clinical series, new drug or medical device trials)
Basic Science Research (new investigations, experimental work)
Case Reports (reports on a limited series of patients)
General Reviews (scholarly review of the existing literature on a relevant topic)
Developments in Endovascular and Endoscopic Surgery
Selected Techniques (technical maneuvers)
Historical Notes (interesting vignettes from the early days of vascular surgery)
Editorials/Correspondence
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