Venovenostomy for Outflow Venous Obstruction in Patients with Upper Extremity Autogenous Hemodialysis Arteriovenous Access

Chen, Jerry C.; Kamal, Dhafer; Jastrzebski, Jacek; Taylor, David

doi:10.1007/s10016-005-5413-z

Cited by 32 publications

(28 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The catheter placement rate was 23%, which is similar to the average rate (26%) reported in a meta-analysis of prospective studies [16]. In the report of Chen et al [6], the cumulative patency rates for 27 surgical procedures were 70% and 57% at 6 and 12 months, respectively. In other reports [2], the cumulative patency rates for 167 surgical procedures were 84% and 70% at 6 and 12 months, respectively.…”

Section: Discussionsupporting

confidence: 77%

The feasibility of surgical salvage of thrombosed arteriovenous fistula by an interventional nephrologist

Cho

2017

Kidney Res Clin Pract.

View full text Add to dashboard Cite

BackgroundSalvage of a thrombosed arteriovenous fistula (AVF) by secondary fistula conversion may be more effective than a conventional endovascular procedure for forearm fistula thrombosis. Surgical access procedures are an undeveloped area in interventional nephrology compared to endovascular procedures. Herein, the author report the results of surgical salvage of thrombosed AVFs by interventional nephrologists.MethodsThe author retrospectively analyzed 52 surgical salvage procedures for AVF thrombosis (radiocephalic fistula = 44 cases, brachiocephalic fistula = 8 cases) that were performed by interventional nephrologist between March 2007 and January 2016.ResultsSecondary fistula formation using the proximal vein was performed for 46 cases (88.5%); outflow rerouting was performed for two cephalic-arch stenosis cases (3.9%), simple thrombectomy was performed for two cases (3.9%), and a graft interposition was performed for two cases (3.9%). Technical success after the surgical procedures was achieved in 51 cases (98.1%), and 39 AVFs (75.0%) were prepared for immediate puncturing without catheter insertion. The primary and secondary patency rates for AVF at 6, 12, 18, and 24 months were 88.5%, 83.2%, 83.2%, and 83.2% and 96.0%, 96.0%, 93.2%, and 93.2%, respectively. The re-intervention rate was 0.27 ± 0.92/patient/ year.ConclusionBased on these results, the author conclude that surgical salvage of a thrombosed AVF, when performed under local anesthesia by a skilled interventional nephrologist, offers favorable short- and long-term success and should be the preferred treatment.

show abstract

Section: Discussionsupporting

confidence: 77%

The feasibility of surgical salvage of thrombosed arteriovenous fistula by an interventional nephrologist

Cho

2017

Kidney Res Clin Pract.

View full text Add to dashboard Cite

show abstract

“…116,117 In this setting, a direct surgical transposition procedure to reroute the cephalic vein outflow to the more distal axillary or brachial vein performed well. 117,118 Outflow transposition is also effective for basilic vein stenosis. 118 Two randomized trials with similar conclusions address the role of surveillance monitoring of AV access flow.…”

Section: Regional Outflow Obstructionmentioning

confidence: 97%

“…117,118 Outflow transposition is also effective for basilic vein stenosis. 118 Two randomized trials with similar conclusions address the role of surveillance monitoring of AV access flow. 109,110 Both used ultrasound-detected indicator dilution in an experimental group compared with observation or clinical monitoring alone.…”

Section: Regional Outflow Obstructionmentioning

confidence: 97%

Complications of arteriovenous hemodialysis access: Recognition and management

Padberg

Calligaro

Sidawy³

2008

Journal of Vascular Surgery

205

262

View full text Add to dashboard Cite

English language citations reporting complications of arteriovenous access for hemodialysis are critically reviewed and discussed. Venous hypertension, arterial steal syndrome, and high-output cardiac failure occur as a result of hemodynamic alterations potentiated by access flow. Uremic and diabetic neuropathies are common but may obfuscate recognition of potentially correctable problems such as compression or ischemic neuropathy. Mechanical complications include pseudoaneurysm, which may develop from a puncture hematoma, degeneration of the wall, or infection. Dysfunctional hemostasis, hemorrhage, noninfectious fluid collections, and access-related infections are, in part, manifestations of the adverse effects of uremia on the function of circulating hematologic elements. Impaired erythropoiesis is successfully managed with hormonal stimulation; perhaps, similar therapies can be devised to reverse platelet and leukocyte dysfunction and reduce bleeding and infectious complications.

show abstract

“…Compared to the cephalic arch stenosis, these strictures were more amenable to endovascular treatment, with 92% secondary patency at one year, with only 1 intervention per patient per year being required. A retrospective review including 7 patients who underwent transposition for cephalic arch stenosis [17] demonstrated 90% AVF patency at 39 months. Outflow transposition should be considered in patients with a mature AVF and recurrent cephalic arch stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…Angioplasty [6], stent insertion [3,15] and surgical intervention [16,17] have all been proposed in small series, however primary patency rates are poor. Primary patency at 12 months is 23% with angioplasty and 39% with surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

Venous Outflow Stenosis of the Brachiocephalic Fistula: A Single Entity, or is the Cephalic Arch Different?

Jackson¹,

Aitken²,

Kasthuri³

et al. 2014

J Vasc Med Surg

View full text Add to dashboard Cite

Venovenostomy for Outflow Venous Obstruction in Patients with Upper Extremity Autogenous Hemodialysis Arteriovenous Access

Cited by 32 publications

References 7 publications

The feasibility of surgical salvage of thrombosed arteriovenous fistula by an interventional nephrologist

The feasibility of surgical salvage of thrombosed arteriovenous fistula by an interventional nephrologist

Complications of arteriovenous hemodialysis access: Recognition and management

Venous Outflow Stenosis of the Brachiocephalic Fistula: A Single Entity, or is the Cephalic Arch Different?

Contact Info

Product

Resources

About