Treatment of Arteriovenous Fistula Failure: Surgical Revision Versus Interventional Radiologic Procedure A prospective randomized study on secondary angioaccess procedure.
- Author:
Yong Pil CHO
1
;
Tae Won KWON
;
Gyu Bo SUNG
;
Jae Young KANG
;
Geun Eun KIM
Author Information
1. Department of Vascular Surgery, Ulsan University, College of Medicine, Asan Medical Center, Seoul, Korea.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Angioaccess failure;
Surgical revision;
Thrombolysis with or without luminal balloon angioplasty
- MeSH:
Angioplasty, Balloon;
Arteriovenous Fistula*;
Constriction, Pathologic;
Dialysis;
Humans;
Korea;
Phenobarbital;
Prospective Studies*;
Renal Dialysis;
Reoperation*;
Thrombosis;
Urokinase-Type Plasminogen Activator
- From:Journal of the Korean Surgical Society
1998;55(2):274-281
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There are over 10,000 individuals in Korea who require chronic hemodialysis treatment. Vascular access with an adequate blood flow and good long-term patency are important to have adequate dialysis. Thrombosis is the most common cause of angioaccess failure and is usually due to outflow stenosis. A thrombolysis using urokinase has been used frequently in recent years for treatment of a thrombosis, but its efficacy is not well documented in the literature. The authors report a prospective randomized study comparing a surgical revision versus a thrombolysis with and without luminal balloon angioplasty. The long-term patency and the total cost of treatment to the patient were compared.
