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Predictors of patency after balloon angioplasty in hemodialysis fistulas: a systematic review.
Neuen, Brendon L; Gunnarsson, Ronny; Webster, Angela C; Baer, Richard A; Golledge, Jonathan; Mantha, Murty L.
Affiliation
  • Neuen BL; School of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia. Electronic address: brendon.neuen@my.jcu.edu.au.
  • Gunnarsson R; School of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia; Research and Development Unit for Primary Health Care and Dental Care, Southern Älvsborg County, Region Västra Götaland, Sweden; Department of Public Health and Community Medicine, Institute of Medicine, The Sahl
  • Webster AC; Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, New South Wales, Australia; Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
  • Baer RA; Department of Renal Medicine, Cairns Hospital, Cairns, Queensland, Australia.
  • Golledge J; Queensland Research Centre for Peripheral Vascular Disease, James Cook University, Townsville, Queensland, Australia; Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia.
  • Mantha ML; Department of Renal Medicine, Cairns Hospital, Cairns, Queensland, Australia.
J Vasc Interv Radiol ; 25(6): 917-24, 2014 Jun.
Article in En | MEDLINE | ID: mdl-24703320
Percutaneous transluminal angioplasty (PTA) is an established treatment for dysfunctional hemodialysis fistulas. This article systematically reviews evidence for predictors of patency after PTA. Outcomes assessed were primary, assisted primary, and secondary patency after intervention, and findings were summarized descriptively. This review included 11 nonrandomized observational studies of 965 fistulas in 939 patients. Follow-up ranged from 0 days to 10 years. Study quality was overall suboptimal. Newer fistulas and longer lesion length may be associated with primary patency loss after PTA. Further studies are needed to confirm these findings, to identify potentially modifiable factors, and to guide the testing of new endovascular devices.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Vascular Patency / Arteriovenous Shunt, Surgical / Renal Dialysis / Angioplasty, Balloon / Graft Occlusion, Vascular Type of study: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limits: Humans Language: En Journal: J Vasc Interv Radiol Journal subject: ANGIOLOGIA / RADIOLOGIA Year: 2014 Type: Article
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PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Vascular Patency / Arteriovenous Shunt, Surgical / Renal Dialysis / Angioplasty, Balloon / Graft Occlusion, Vascular Type of study: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limits: Humans Language: En Journal: J Vasc Interv Radiol Journal subject: ANGIOLOGIA / RADIOLOGIA Year: 2014 Type: Article