| Access flow after angioplasty predicts subsequent arteriovenous graft survival. | |
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MedLine Citation:
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PMID: 16517776 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The effectiveness of angioplasty can be assessed by access blood flow (ABF) measurements after the procedure; however, ABF after angioplasty is highly variable. The purpose of this study was to determine if the level of ABF achieved after angioplasty of arteriovenous (AV) grafts was predictive of subsequent graft outcomes. MATERIALS AND METHODS: Retrospective review was performed of 51 shunt images in 31 patients who were receiving dialysis via functioning AV grafts. Patients were referred for shunt imaging because of low ABF rates, increased venous pressure, or clinical indications. Only those patients with ABF measurements performed less than 1 month after angioplasty were included. Patients were then followed for at least 12 months after the initial angioplasty and access-related events were recorded (eg, thrombosis, repeat angioplasty, infection, loss of access). RESULTS: Average ABF rates increased from 655 mL/min+/-45 before angioplasty to 946 mL/min+/-50 after angioplasty. The median ABF rate after the procedure was 1,040 mL/min. Grafts with an ABF rate after angioplasty of less than 1,000 mL/min were more likely to require repeat intervention and to exhibit thrombosis within the first 6 months compared with those with ABF rates greater than 1,000 mL/min. They also had a lower 1-year assisted patency rate (ie, graft survival). The most important determinant of flow after angioplasty was the ABF before angioplasty. CONCLUSION: Grafts with an ABF rate greater than 1,000 mL/min after prophylactic angioplasty required fewer repeat interventions and had longer assisted patency after prophylactic angioplasty than those with ABF rates less than 1,000 mL/min. |
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Authors:
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Brian M Murray; Annette Herman; Bhupendra Mepani; Susan Rajczak |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 17 ISSN: 1051-0443 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 2006 Feb |
Date Detail:
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Created Date: 2006-03-06 Completed Date: 2006-08-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 303-8 Citation Subset: IM |
Affiliation:
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Department of Medicine, Erie County Medical Center, Buffalo, New York 14215, USA. bmurray@ms.ecmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty
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methods* Arteriovenous Shunt, Surgical* Blood Flow Velocity Blood Vessel Prosthesis* Chi-Square Distribution Female Graft Occlusion, Vascular / therapy* Graft Survival* Humans Male Middle Aged Renal Dialysis / instrumentation* Retrospective Studies Vascular Patency Venous Pressure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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