Comparative study of percutaneous transluminal angioplasty and neo-anastomosis to treat juxta-anastomotic stenosis of autologous arteriovenous fistula in patients with diabetes mellitus
10.3760/cma.j.issn.1673-4904.2019.12.006
- VernacularTitle: 球囊扩张与血管再吻合治疗糖尿病血液透析患者自体动静脉内瘘近吻合口狭窄的对比研究
- Author:
Minxia LI
1
;
Jiaxuan LYU
1
;
Junlai ZHAO
2
;
Yuehong LI
1
;
Zhen ZHUANG
1
;
Xianglan WU
1
Author Information
1. Department of Nephrology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
2. Department of Vascular Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Hemodiafiltration;
Arteriovenous fistula;
Percutaneous transluminal angioplasty
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(12):1081-1084
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy of percutaneous transluminal angioplasty (PTA) and neo-anastomosis in juxta-anastomotic stenosis of autologous arteriovenous fistula (AVF) of diabetic hemodialysis patients.
Methods:Diabetic patients with juxta-anastomotic stenosis in Beijing Tsinghua Changgung Hospital from February 2016 to December 2018 were retrospectively analyzed. The clinical data, success rate, patency time of PTA and vascular neo-anastomosis were compared.
Results:Thirteen patients received PTA, including 1 case of surgical failure and 1 case of thrombosis, and the success rate was 11/13. Vascular neo-anastomosis were performed in 15 cases, and 13 cases succeeded. The success rate was 13/15, and the success rate between two groups had no significant (P > 0.05). The median patency time was 11(7-12) months and 15(5-22) months (P > 0.05). The volume of bleeding [3(2-4) ml vs. 20(10-40) ml], the length of blood vessel wastage [0 vs. (3.6 ± 1.2) cm] and the operating time [(0.6 ± 0.7) h vs. (1.8 ± 0.5) h] of PTA patients were less than those of vascular neo-anastomosis group, and there were significant differences (P < 0.05).
Conclusions:There are no significant differences between PTA and neo-anastomosis with respect to patency. PTA has the advantages of less vascular injury, shorter operation time, less bleeding and can dilate arteries at the same time.
