دورية أكاديمية

Percutaneous transluminal angioplasty in Japan: five-center investigation.

التفاصيل البيبلوغرافية
العنوان: Percutaneous transluminal angioplasty in Japan: five-center investigation.
المؤلفون: Murakami M; Department of Nephrology, Shizuoka General Hospital, Shizuoka - Japan., Miyamoto M; Department of Nephrology, Yokohama Daiichi Hospital, St. Marianna University School of Medicine Hospital, Yokohama - Japan., Suemitsu K; Department of Nephrology, Kansai Rosai Hospital, Kinki Central Hospital, Amagasaki - Japan.
المصدر: The journal of vascular access [J Vasc Access] 2015 Nov; Vol. 16 Suppl 10, pp. S38-42. Date of Electronic Publication: 2015 Sep 04.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 100940729 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6032 (Electronic) Linking ISSN: 11297298 NLM ISO Abbreviation: J Vasc Access Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Thousand Oaks, CA : Sage Publications
Original Publication: Milano ; Birmingham : Wichtig, c2000-
مواضيع طبية MeSH: Angioplasty, Balloon*/adverse effects , Renal Dialysis*, Arteriovenous Shunt, Surgical/*adverse effects , Blood Vessel Prosthesis Implantation/*adverse effects , Graft Occlusion, Vascular/*therapy , Upper Extremity/*blood supply, Aged ; Aged, 80 and over ; Female ; Graft Occlusion, Vascular/diagnosis ; Graft Occlusion, Vascular/etiology ; Graft Occlusion, Vascular/physiopathology ; Humans ; Japan ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Time Factors ; Treatment Outcome ; Vascular Patency
مستخلص: Purpose: Percutaneous transluminal angioplasty (PTA) is the first-line treatment for vascular access stenosis. To our knowledge, multicenter clinical research of PTA has not been reported in Japan. We examined the efficacy and safety of PTA for arteriovenous fistula (AVF) and arteriovenous graft (AVG) in five centers of Japan.
Methods: Three hundred cases of angioplasty for AVF and 300 for AVG were examined in three centers each. A hundred consecutive patients from each center who underwent PTA for AVG or AVF prior to March 2014 and met the inclusion criteria were searched retrospectively. Primary patency rates were estimated using the Kaplan-Meier method.
Results: The mean age was 69.3 ± 11.2 years in the AVF group and 70.2 ± 11.9 years in the AVG group. The anatomical success rates were 51.7% (155 of 300) in the AVF group and 72.0% (216 of 300) in the AVG group. The clinical success rates were 99.7% (299 of 300) in the AVF group and 100% (300 of 300) in the AVG group. A total of 25 complications (4.17%) were encountered in both groups including one major complication (0.17%). The primary patency was 99.0% at 1 month, 87.9% at 3 months and 51.7% at 6 months in the AVF group, and 96.0% at 1 month, 64.8% at 3 months and 20.4% at 6 months in the AVG group.
Conclusions: The clinical success rate of PTA in five centers was relatively high and a major complication rate was only 0.17%. However, anatomical success rates were low comparing with the previous studies and the primary patency rates were inferior to the past data.
تواريخ الأحداث: Date Created: 20150910 Date Completed: 20160914 Latest Revision: 20171213
رمز التحديث: 20240513
DOI: 10.5301/jva.5000426
PMID: 26349877
قاعدة البيانات: MEDLINE
الوصف
تدمد:1724-6032
DOI:10.5301/jva.5000426