Comparison on direct and after ultrasound-guided percutaneous transluminal angioplasty of radial artery arteriovenous fistula formation and reverse"J"arteriovenous graft formation in hemodialysis patients with relative small diameter vessels
10.13929/j.issn.1672-8475.2025.03.002
- VernacularTitle:比较直接或于超声引导下经皮腔内血管成形扩张桡动脉后及反"J"型移植物建立动静脉瘘用于接受血液透析而相应血管细小患者
- Author:
Yan JIANG
1
;
Zhiqian XIONG
;
Liting LIU
;
Chaojiang SU
;
Yan CHEN
;
Shuai ZHANG
;
Zongyang LIU
Author Information
1. 贵州医科大学附属肿瘤医院肾内科,贵州 贵阳 550003
- Publication Type:Journal Article
- Keywords:
renal dialysis;
arteriovenous fistula;
angioplasty;
ultrasonography,interventional
- From:
Chinese Journal of Interventional Imaging and Therapy
2025;22(3):159-163
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the application value of direct arteriovenous fistula(AVF),after ultrasound-guided percutaneous transluminal angioplasty(PTA)dilation of radial artery AVF formation and reverse"J"arteriovenous graft(AVG)in hemodialysis patients with small diameter vessels.Methods Totally 96 end-stage renal disease patients with distal radial artery＜1.5 mm and cephalic vein≥2.0 mm who planning to receive hemodialysis were retrospectively enrolled.The patients were divided into AVF group(n=30),PTA+AVF group(n=34)and AVG group(n=32)according to fistulization methods.The technical success rate,clinical success rate,primary patency rate and secondary patency rate were compared among groups.Results The technical success rate of AVF group,PTA+AVF group and AVG group was 80.00%,94.12%and 100%,respectively,and the clinical success rate was 30.00%,82.35%and 93.75%,respectively,with significant differences among 3 groups(both P＜0.05).The primary patency rate 1,3,6,9 and 12 months after fistulization in AVF group was 80.00%,30.00%,27.59%,27.59%and 24.14%,respectively,in PTA+AVF group was 94.12%,82.35%,78.79%,68.75%and 62.50%,respectively,while in AVG group was 100%,93.33%,83.33%,76.67%and 66.67%,respectively,all being significant different among 3 groups(all P＜0.05).The secondary patency rate 1,3,6,9 and 12 months after fistulization in AVF group was 83.33%,75.00%,75.00%,70.83%and 58.33%,respectively,in PTA+AVF group was 93.33%,93.33%,83.33%,83.33%and 80.00%,respectively,while in AVG group was 100%,100%,93.33%,90.00%and 80.00%,respectively,also being significant different among 3 groups(all P＜0.05).Conclusion Compared with direct and after ultrasound-guided PTA dilation of radial artery AVF formation,AVG formation was more valuable for hemodialysis patients with small diameter vessels.
