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Cited 3 time in webofscience Cited 2 time in scopus
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Percutaneous Intervention in Axillary Loop-Configured Arteriovenous Grafts for Chronic Hemodialysis Patients

Authors
Park, Beom JinKim, Hyoung RaeChung, Hwan HoonSung, Deuk JaePark, Sang JoonSon, Ho SungJo, Sang KyungKim, Yun HwanCho, Sung Bum
Issue Date
Mar-2010
Publisher
KOREAN RADIOLOGICAL SOC
Keywords
Dialysis, shunt; Graft, interventional procedure; Veins, transluminal angioplasty
Citation
KOREAN JOURNAL OF RADIOLOGY, v.11, no.2, pp.195 - 202
Indexed
SCIE
SCOPUS
KCI
Journal Title
KOREAN JOURNAL OF RADIOLOGY
Volume
11
Number
2
Start Page
195
End Page
202
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/15099
DOI
10.3348/kjr.2010.11.2.195
ISSN
1229-6929
Abstract
Objective: The purpose of this study was to evaluate the fistulographic features of malfunctioning axillary loop-configured arteriovenous grafts and the efficacy of percutaneous interventions in failed axillary loop-configured arteriovenous grafts. Materials and Methods: Ten patients with axillary loop-configured arteriovenous grafts were referred for evaluation of graft patency or upper arm swelling. Fistulography and percutaneous intervention, including thrombolysis, percutaneous transluminal angioplasty and stent placement, were performed. Statistical analysis of the procedure success rate and the primary and secondary patency rates was done. Results: Four patients had graft related and subclavian venous stenosis, two patients had graft related stenosis and another four patients had subclavian venous stenosis only. Sixteen sessions of interventional procedures were performed in eight patients (average: 2 sessions / patient) until the end of follow-up. An interventional procedure was not done in two patients with central venous stenosis. The overall procedure success rate was 69% (11 of 16 sessions). The post-intervention primary and secondary patency rates were 50% and 63% at three months, 38% and 63% at six months and 25% and 63% at one year, respectively. Conclusion: Dysfunctional axillary loop-configured arteriovenous grafts almost always had subclavian venous and graft-related stenosis. Interventional treatments are helpful to overcome this and these treatments are expected to play a major role in restoring and maintaining the axillary loop-configured arteriovenous loop grafts.
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2. Clinical Science > Department of Nephrology and Hypertension > 1. Journal Articles
2. Clinical Science > Department of Thoracic and Cardiovascular Surgery > 1. Journal Articles
2. Clinical Science > Department of Radiology > 1. Journal Articles

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Jo, Sang Kyung
Anam Hospital (Department of Nephrology and Hypertension, Anam Hospital)
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