A Prospective Randomized Study Comparing the Use of Plain Percutaneous Transluminal Angioplasty Balloon Catheters for Primary Balloon Angioplasty versus Hydrostatic Dilatation to Prepare the Cephalic Vein Prior to Creation of Radio-Cephalic Arteriovenous for Dialysis

Background: To compare the immediate technical success, maturation time, and the need for further balloon assisted maturation for radio-cephalic arteriovenous fistulas to render them ready for hemodialysis. Method(s): Fifty-seven (57) patients with ESRD in need for vascular access for whom a radio-cephalic arteriovenous fistula was of choice, with a cephalic vein ≤ 3 mm. They presented to us from the period of November 2014 till January 2017, were randomized into two groups. The cephalic vein was prepared in group (A) using hydrostatic dilatation prior to creation of the fistula, while in group (B) the vein was prepared using a PTA balloon catheter for primary balloon angioplasty prior to the creation of the fistula. Result(s): The technical success rate was 96.5%, 100% in both groups respectively. The reintervention rate was 35.7%, 7.1% in both groups respectively. The mean maturation time was 43 days, 32.1 days in both groups respectively. Conclusion(s): Using primary balloon dilatation during creation of a radiocephalic arteriovenous fistula leads to a decreased maturation time and less reintervention rate, but still these results are statistically insignificant may be due to small number of study sample.

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Artikel online veröffentlicht:
11. Mai 2021