| Optimizing hemodialysis arteriovenous fistula maturation. | |
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MedLine Citation:
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PMID: 21058254 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Purpose: To review why hemodialysis fistulas fail to mature and how percutaneous techniques can salvage them. Methods: A review of the medical literature was performed, with specific attention to the location of the lesions, the types and the numbers of procedures performed, salvage and patency rates. Results: Using balloon angioplasty of the arteries and/or veins with sequential dilation if needed and ligation or embolization of collateral side branches the fistula that has failed to mature can be salvaged. Usually, more than one procedure is required to salvage a fistula; however, salvage rates of 75-95% are achieved with 1 yr primary patency rates of 30-60%. With repeat percutaneous interventions, 1 yr secondary patency rates are 75-90%. Conclusions: With surveillance and aggressive follow-up after placement, early intervention (primarily dilation in the access circuit) can yield high salvage rates in fistulas that fail to mature. |
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Authors:
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Abigail Falk |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The journal of vascular access Volume: 12 ISSN: 1724-6032 ISO Abbreviation: J Vasc Access Publication Date: 2011 Jan-Mar |
Date Detail:
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Created Date: 2011-03-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100940729 Medline TA: J Vasc Access Country: Italy |
Other Details:
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Languages: eng Pagination: 1-3 Citation Subset: IM |
Affiliation:
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American Access Care, New York, NY - USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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