Document Detail

The percutaneous treatment of angioaccess graft complications.
MedLine Citation:
PMID:  7661289     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In the last decade, percutaneous techniques have been used with increasing frequency to treat angioaccess graft complications. The role of these procedures and their outcomes in patients on hemodialysis remains unclear. PATIENTS AND METHODS: The records of all patients receiving percutaneous treatment of failed or failing angioaccess grafts were reviewed. Patient demographics, site and type of percutaneous intervention, and results of treatment were recorded. Survival curves were plotted using the Kaplan-Meier method, and differences in times to first failure between types of intervention were tested using the log rank method. RESULTS: Grafts not requiring thrombolysis had significantly higher patency rates than those that did (P < 0.0001). Patency of grafts undergoing angioplasty of sites remote from the venous anastomosis were significantly higher than those of grafts undergoing venous anastomotic dilatation (P = 0.0004). CONCLUSIONS: Percutaneous techniques are most effective in treating failing but patent angioaccess grafts, especially those with stenoses remote from the venous anastomosis. The efficacy of percutaneous techniques diminishes significantly when used to treat grafts that have progressed to occlusion.
S G Katz; R D Kohl
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  170     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1995-09-29     Completed Date:  1995-09-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  238-42     Citation Subset:  AIM; IM    
Huntington Memorial Hospital, Pasadena, California, USA.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon
Arteriovenous Shunt, Surgical / adverse effects*,  methods
Catheters, Indwelling
Graft Occlusion, Vascular / therapy*
Middle Aged
Renal Dialysis / methods*
Thrombolytic Therapy
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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