잠시만 기다려 주세요. 로딩중입니다.

Effectiveness and Influencing Factors of Percutaneous Transluminal Angioplasty for Stenosis of Transposed Brachiobasilic Arteriovenous Fistula

대한영상의학회지 2019년 80권 3호 p.477 ~ 489
 ( Shin Da-Hye ) - Soonchunhyang University Seoul Hospital Department of Radiology

 ( Kim Yong-Jae ) - Soonchunhyang University Seoul Hospital Department of Radiology
 ( Yang Seung-Boo ) - Soonchunhyang Gumi Hospital Department of Radiology
 ( Lee Jae-Myeong ) - Soonchunhyang University Bucheon Hospital Department of Radiology
 ( Lee Woong-Hee ) - Soonchunhyang University Cheonan Hospital Department of Radiology
 ( Goo Dong-Erk ) - Soonchunhyang University Seoul Hospital Department of Radiology

Abstract


Purpose: To evaluate effectiveness of percutaneous transluminal angioplasty (PTA) for transposed brachiobasilic arteriovenous fistula (tBBAVF), and to analyze the factors influencing patency after PTA.

Materials and Methods: In 101 patients who underwent operation for tBBAVF from January 2006 to February 2008, we identified 42 patients undergoing PTA. We conducted a retrospective analysis of sequential PTAs in these patients from 2006 to 2017.

Results: A total of 100 PTAs were performed. The technical success rate was 93% and the clinical success was 100%. Only ruptures occurred in 12% as minor complications. Primary patency rate was 61%, 29%, 7%, and secondary patency was 91%, 82%, 59% at 6, 12, and 24 months, respectively. Primary patency rate was lower in tBBAVF with rupture (p = 0.024). Secondary patency rate was significantly lower in the diabetes (p = 0.002).

Conclusion: Repetitive PTAs in tBBAVF are acceptable due to excellent secondary patency. Primary patency of tBBAVF is low in patients with rupture. Diabetes itself has a significant effect on secondary patency.

키워드

Arteriovenous Fistula; Angioplasty; Vascular Patency; Diabetes Mellitus
원문 및 링크아웃 정보
 
등재저널 정보