Surgical and Endovascular Intervention for Dialysis Access Maturation Failure During and After Arteriovenous Fistula Surgery: Review of the Evidence

Tordoir, Jan H.M.; Zonnebeld, Niek; Loon, Magda M. van; Gallieni, Maurizio; Hollenbeck, Markus

doi:10.1016/j.ejvs.2017.12.001

Cited by 52 publications

(33 citation statements)

References 76 publications

(57 reference statements)

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“…To allow successful use of a newly created AV fistula, the outflow vein needs to enlarge sufficiently to allow insertion of one or two needles and sustain the blood flow required for adequate dialysis. Unfortunately, up to a quarter of newly constructed AV fistulas fail to mature [54]. The outflow vein may not enlarge for many reasons, some of which can be remedied by surgical or radiological endovascular interventions.…”

Section: Rationalementioning

confidence: 99%

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Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Gallieni

Hollenbeck

Inston

et al. 2019

Nephrology Dialysis Transplantation

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102

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Chapter 2. Surgical and endovascular interventions for promoting arteriovenous fistula maturation 2.1. We suggest using regional block anaesthesia rather than local anaesthesia for arteriovenous fistula creation in adults with end-stage kidney disease. (2C) 2.2. We suggest there is insufficient evidence to support endof-vein to side-of-artery over side-of-vein to side-ofartery anastomosis for arteriovenous fistula creation in adults with end-stage kidney disease (2C) peri-and postoperative care of AV fistulas and grafts ii3

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Section: Rationalementioning

confidence: 99%

“…A recent narrative review that included an attempt at comprehensively searching multiple databases found 28 non-randomized uncontrolled studies recording clinical success, 1-year primary patency or 1-year secondary patency of various surgical and radiological endovascular techniques (Table 5 and 6) [54].…”

Section: Rationalementioning

confidence: 99%

Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Gallieni

Hollenbeck

Inston

et al. 2019

Nephrology Dialysis Transplantation

Self Cite

102

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“…However, there was no consensus on the ideal intervention to enhance AVF. 10 The aim of the work was to identify the anatomical causes of maturation failure and to assess immediate and long-term clinical effects of PTA of non-mature Authorship: All authors have a substantial contribution to the article. Disclosure: The authors have no financial interest to declare in relation to the content of this article.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Management of The Failure of Maturation of Native Arterio-Venous Fistula due to Outflow Stenosis for Hemodialysis

El-Ashry

Ewida

Ibrahim

2020

Al-Azhar International Medical Journal

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Background: Arteriovenous fistula (AVF) is a significant procedure for patient in need of hemodialysis. Failure of maturation due to stenosis is a challenge that needs further intervention. Endovascular treatment allows salvaging these fistulae. Aim of the work: To identify the anatomical causes of maturation failure and to assess immediate and long-term clinical effects of PTA of non-mature native (AVF) caused by outflow stenosis using currently available endovascular techniques. Material and Methods: This study was performed on forty patients complaining of stenosis of primary AVF. The mean age is 60.5. Patients were followed-up every two weeks for the first 2 months, then every month for 6 months post-intervention clinically and radiologically. Collected data includes patient's demographics, cause of renal failure, characters of primary AVF, and variables of endovascular intervention, primary patency, and recurrence of stenosis. Results: AVF type was either brachiocephalic (57.5%), brachiobasilic (32.5%) or radiocephalic (10.0%). Fistulography revealed peripheral venous stenosis in 18 patients (45.0%), central venous stenosis in 14 patients (35.0%), and juxta-anastomotic stenosis in 8 patients (20%). Our technical success was achieved in 87.5% of cases; the patency rate was 91.0% in a month, 86.0% in 3 months, and 80.0% in 6 months. Complications were reported in 10 cases. The recurrence was reported in 7 patients (17.5% of cases). Conclusions: Endovascular salvage of failing A-V fistulas with PTA and Stenting is safe and effective. It is associated with high success rates, low complication rates, and rendering the immediate reuse of the failing shunt.

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“…Current recommendation is to monitor newly created fistula closely to discover maturation; and if happened, early intervention is recommend. However, there was no consensus on the ideal intervention to enhance AVF maturation [10] .…”

Section: Introductionmentioning

confidence: 99%

Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis

Ibrahim

2019

International Journal of Medical Arts

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Background: Arteriovenous fistula (AVF) is a significant procedure for patients in need for hemodialysis. Failure of maturation due to stenosis is a challenge, which need further intervention. Aim of the work: To present our experience in therapeutic intervention for non-mature arteriovenous fistula caused by stenosis using balloon angioplasty. Patients and Methods: 25 patients who had stenosis of primary AVF were included. The mean age was 57.28±6.97 years and patients were 16 males and 9 females. Patients were Followed-up every three months up to 1 year. Collected data included patient demographics, cause of renal failure, characters of primary AVF, and variables of balloon angioplasty (e.g., clinical success and complications), primary patency and recurrence of stenosis. Results: AVF type was radiocephalic (60.0%), brachiobasilic (24.0%) and brachiocephalic (16.0%). The fistula segment was juxta-anastomotic (44%), anastomosis (36.0%) and efferent in 20.0%. Technical success was 100%; the patency rate at 6 months was 80.0%, at 9 months was 64.0% and at 12 months was 56.0%. There was puncture site hematoma in 2 patients (8.0%) that were treated conservatively. The recurrence was reported in 9 patients (36.0%) (8 cases due to reocclusion and one patient due to thrombus formation). Recurrence was significantly associated with older age and high coronary artery disease. Conclusions: Balloon angioplasty is effective and safe procedure for treatment of AVF non-maturation due to stenosis.

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Surgical and Endovascular Intervention for Dialysis Access Maturation Failure During and After Arteriovenous Fistula Surgery: Review of the Evidence

Abstract: Intervention for autologous arteriovenous fistula non-maturation is worthwhile and results in an increased number of functional fistulae. The outcome of surgical revision is better than endovascular and might be preferable in certain patient populations.

Cited by 52 publications

References 76 publications

Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Endovascular Management of The Failure of Maturation of Native Arterio-Venous Fistula due to Outflow Stenosis for Hemodialysis

Role of Balloon Angioplasty in Non-mature Arteriovenous Fistula caused by Stenosis

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