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Outcomes of Central Venoplasty in Haemodialysis Patients

Objective: To review the outcomes of central venoplasty in the treatment of symptomatic central vein stenosis in patients undergoing haemodialysis via an ipsilateral arteriovenous fistula (AVF). Methods: Data were collected retrospectively, and included all the consecutive cases of central venoplast...

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Autores principales: Cuthbert, Gary Andrew, Lo, Zhiwen Joseph, Kwan, Justin, Chandrasekar, Sadhana, Tan, Glenn Wei Long
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200608/
https://www.ncbi.nlm.nih.gov/pubmed/30402178
http://dx.doi.org/10.3400/avd.oa.18-00025
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author Cuthbert, Gary Andrew
Lo, Zhiwen Joseph
Kwan, Justin
Chandrasekar, Sadhana
Tan, Glenn Wei Long
author_facet Cuthbert, Gary Andrew
Lo, Zhiwen Joseph
Kwan, Justin
Chandrasekar, Sadhana
Tan, Glenn Wei Long
author_sort Cuthbert, Gary Andrew
collection PubMed
description Objective: To review the outcomes of central venoplasty in the treatment of symptomatic central vein stenosis in patients undergoing haemodialysis via an ipsilateral arteriovenous fistula (AVF). Methods: Data were collected retrospectively, and included all the consecutive cases of central venoplasty between January 2008 and December 2015. Results: A total of 132 central venoplasties in 76 patients were performed, with incidence of symptomatic central vein stenosis at 7.4%. Of the patients, 66% were male and the mean age was 61 years. The most frequent indication was decreased dialysis access flow rates (58%) and 52% of all the patients had symptoms of upper limb swelling. The patients who had previous ipsilateral tunneled internal jugular vein dialysis catheters made up 58% of the patients. The mean time from AVF creation to first central venoplasty was 24 months, and 74% of the cases required a second central venoplasty and the mean time to second venoplasty was 7 months. The overall post intervention assisted primary patency rate was 87%, 74%, 63%, and 42% at 6, 12, 18, and 24 months respectively. Statistically significant differences were found in primary assisted patency (p=0.025) and time to second procedure (p=0.039) comparing those with and without a history of ipsilateral tunneled dialysis catheter. Conclusion: Central venoplasty is technically feasible with low procedural risk. The maintenance of the AVF patency usually requires multiple procedures at average interval of 7 months. Patients with a history of upper limb tunneled dialysis catheter ipsilateral to the side of central vein stenosis or AVF have a less favorable outcome compared to those without.
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spelling pubmed-62006082018-11-06 Outcomes of Central Venoplasty in Haemodialysis Patients Cuthbert, Gary Andrew Lo, Zhiwen Joseph Kwan, Justin Chandrasekar, Sadhana Tan, Glenn Wei Long Ann Vasc Dis Original Article Objective: To review the outcomes of central venoplasty in the treatment of symptomatic central vein stenosis in patients undergoing haemodialysis via an ipsilateral arteriovenous fistula (AVF). Methods: Data were collected retrospectively, and included all the consecutive cases of central venoplasty between January 2008 and December 2015. Results: A total of 132 central venoplasties in 76 patients were performed, with incidence of symptomatic central vein stenosis at 7.4%. Of the patients, 66% were male and the mean age was 61 years. The most frequent indication was decreased dialysis access flow rates (58%) and 52% of all the patients had symptoms of upper limb swelling. The patients who had previous ipsilateral tunneled internal jugular vein dialysis catheters made up 58% of the patients. The mean time from AVF creation to first central venoplasty was 24 months, and 74% of the cases required a second central venoplasty and the mean time to second venoplasty was 7 months. The overall post intervention assisted primary patency rate was 87%, 74%, 63%, and 42% at 6, 12, 18, and 24 months respectively. Statistically significant differences were found in primary assisted patency (p=0.025) and time to second procedure (p=0.039) comparing those with and without a history of ipsilateral tunneled dialysis catheter. Conclusion: Central venoplasty is technically feasible with low procedural risk. The maintenance of the AVF patency usually requires multiple procedures at average interval of 7 months. Patients with a history of upper limb tunneled dialysis catheter ipsilateral to the side of central vein stenosis or AVF have a less favorable outcome compared to those without. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018-09-25 /pmc/articles/PMC6200608/ /pubmed/30402178 http://dx.doi.org/10.3400/avd.oa.18-00025 Text en Copyright © 2018 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2018 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Original Article
Cuthbert, Gary Andrew
Lo, Zhiwen Joseph
Kwan, Justin
Chandrasekar, Sadhana
Tan, Glenn Wei Long
Outcomes of Central Venoplasty in Haemodialysis Patients
title Outcomes of Central Venoplasty in Haemodialysis Patients
title_full Outcomes of Central Venoplasty in Haemodialysis Patients
title_fullStr Outcomes of Central Venoplasty in Haemodialysis Patients
title_full_unstemmed Outcomes of Central Venoplasty in Haemodialysis Patients
title_short Outcomes of Central Venoplasty in Haemodialysis Patients
title_sort outcomes of central venoplasty in haemodialysis patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200608/
https://www.ncbi.nlm.nih.gov/pubmed/30402178
http://dx.doi.org/10.3400/avd.oa.18-00025
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