A comparison of outcomes between open and endovascular arteriovenous access creation for hemodialysis

Mordhorst, Alexa; Clement, Jason; Kiaii, Mercedeh; Faulds, Jason; Hsiang, York; Misskey, Jonathan

doi:10.1016/j.jvs.2021.07.104

Cited by 9 publications

(3 citation statements)

References 45 publications

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“…A full-text assessment was conducted for the remaining articles, resulting in the exclusion of 248 studies that did not meet the inclusion criteria. Ultimately, 11 studies were included (Figure 1) [7][8][9][10][11][12][13][14][15][16][17].…”

Section: Study Selectionmentioning

confidence: 99%

Dialysis Access-Associated Steal Syndrome in High-Risk Patients Undergoing Surgery for Hemodialysis Access: A Systematic Review and Meta-Analysis of Preventive Operative Techniques

Alqahtani,

Aljaber,

Alsuwailem

et al. 2023

Cureus

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This systematic review and meta-analysis examine preventive operative techniques in high-risk patients undergoing surgery for hemodialysis access to mitigate the risk of Dialysis Access-Associated Steal Syndrome (DASS). Chronic kidney disease often leads to end-stage renal disease (ESRD), necessitating dialysis. Successful vascular access is crucial for efficient dialysis, but complications, such as DASS, pose significant challenges. DASS redirects arterial blood flow, affecting populations undergoing arteriovenous access surgery. This study aims to assess preventive strategies, including distal revascularization with interval ligation (DRIL) and extension techniques. A systematic search of PubMed, Cochrane Library, EMBASE, and Web of Science until 2022 identified 11 relevant studies. The inclusion criteria comprised nonpediatric hemodialysis patients reporting outcomes related to patency and complications. The data were analyzed using Review Manager 5.3.5 (The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen). Meta-analysis indicated a significant association between DASS and arteriovenous fistula (AVF) or arteriovenous graft (AVG) procedures. Radiocephalic AVF (RC-AVF) and distal endovascular AVF procedures were favored. Various interventions addressed venous narrowing, including simple plication and loop interposition. The Modified by Inserted Latex Link for Endovascular Repair (MILLER) technique, DRIL, Extension Technique, and Proximalization of Arterial Inflow (PAI) were assessed for arterial bypass graft and blood supply preservation. This study underscores the importance of individualized strategies in preventing DASS during hemodialysis access surgery. Prophylactic measures, such as the extension technique, show promise, while DRIL remains effective in treatment. Ongoing research is imperative for optimizing outcomes in this complex patient population.

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Section: Study Selectionmentioning

confidence: 99%

Dialysis Access-Associated Steal Syndrome in High-Risk Patients Undergoing Surgery for Hemodialysis Access: A Systematic Review and Meta-Analysis of Preventive Operative Techniques

Alqahtani,

Aljaber,

Alsuwailem

et al. 2023

Cureus

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“…Procedure-related complications for endoAVF showed 7% (95% CI, 0.04-0.17; I 2 = 78.31%; Supplementary Figure 1) (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21), and there was no significant difference between the endovascular and surgical AVF (OR = 1.85; 95% CI, 0.37-9.16; P = 0.45; I 2 = 59%; Supplementary Figure 2A) (23)(24)(25)(26).…”

Section: Secondary Outcomes Operation-related Complicationsmentioning

confidence: 99%

“…The devices allowed more clinicians to perform AVF independently due to the simple operation, which potentially reduced the waiting time and allowed patients to avoid surgical procedures. Moreover, endoAVF creation has shown very promising results in several studies, with high rates of technique success, maturation, and few procedurerelated complications (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). However, a comprehensive and systematic research evidence of endoAVF is still lacking.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous endovascular arteriovenous fistula: A systematic review and meta-analysis

Sun

Liu²,

Shen³

et al. 2022

Front. Cardiovasc. Med.

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ObjectiveCurrently, percutaneous endovascular creation of arteriovenous fistula (AVF) shows excellent outcomes. However, few systematic research evidence to support clinical decision making on the benefit of endovascular AVF is available. The purpose of this study was to evaluate the efficacy and safety of endovascular AVF (endoAVF) in patients with renal failure.MethodsWe searched the Medline, Embase, Cochrane Library, and ClinicalTrials.gov databases for studies on endovascular or endovascular versus surgery for the creation of AVF. Two reviewers independently selected studies and extracted data. A systematic review and meta-analysis were performed by Review Manager 5.4 software (Revman, The Cochrane Collaboration, Oxford, United Kingdom) and Stata 15.0 (Stata Corp, College Station, TX, United States).ResultsA total of 14 case series and 5 cohort studies, with 1,929 patients, were included in this study. The technique success was 98.00% for endoAVF (95% CI, 0.97–0.99; I2 = 16.25%). There was no statistically significant difference in 3 cohort studies between endovascular and surgical AVF for procedural success (OR = 0.69; 95% CI, 0.04–11.98; P = 0.80; I2 = 53%). The maturation rates of endoAVF were 87.00% (95% CI, 0.79–0.93; I2 = 83.96%), and no significant difference was observed in 3 cohort studies between the 2 groups (OR = 0.73; 95% CI, 0.20–2.63; P = 0.63; I2 = 88%). Procedure-related complications for endoAVF was 7% (95% CI, 0.04–0.17; I2 = 78.31%), and it did not show significant difference in 4 cohort studies between the 2 groups (OR = 1.85; 95% CI, 0.37–9.16; P = 0.45; I2 = 59%).ConclusionThe endovascular creation of AVF is potentially effective and safe. These important data may provide evidence to support clinicians and patients in making decisions with endovascular AVF. But further research is great necessary due to lack of randomized controlled studies.

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Vascular Access for Haemodialysis

Debus,

Grundmann

2023

Evidence-Based Therapy in Vascular Surgery

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A comparison of outcomes between open and endovascular arteriovenous access creation for hemodialysis

Cited by 9 publications

References 45 publications

Dialysis Access-Associated Steal Syndrome in High-Risk Patients Undergoing Surgery for Hemodialysis Access: A Systematic Review and Meta-Analysis of Preventive Operative Techniques

Dialysis Access-Associated Steal Syndrome in High-Risk Patients Undergoing Surgery for Hemodialysis Access: A Systematic Review and Meta-Analysis of Preventive Operative Techniques

Percutaneous endovascular arteriovenous fistula: A systematic review and meta-analysis

Vascular Access for Haemodialysis

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