Effects of Percutaneous Transluminal Angioplasty Plus Open Operation in Hemodialysis Patients with Type I and II Upper Limb Arteriovenous Fistula Stenosis

Xixiong SU; Wei XU; Liqi XU; Qin YANG; Yunli YANG

doi:10.12259/j.issn.2095-610X.S20220626

Volume 43 Issue 6

Jun. 2022

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Xixiong SU, Wei XU, Liqi XU, Qin YANG, Yunli YANG. Effects of Percutaneous Transluminal Angioplasty Plus Open Operation in Hemodialysis Patients with Type I and II Upper Limb Arteriovenous Fistula Stenosis[J]. Journal of Kunming Medical University, 2022, 43(6): 52-55. doi: 10.12259/j.issn.2095-610X.S20220626

Citation:

Xixiong SU, Wei XU, Liqi XU, Qin YANG, Yunli YANG. Effects of Percutaneous Transluminal Angioplasty Plus Open Operation in Hemodialysis Patients with Type I and II Upper Limb Arteriovenous Fistula Stenosis[J]. Journal of Kunming Medical University, 2022, 43(6): 52-55. doi: 10.12259/j.issn.2095-610X.S20220626

Citation:

Xixiong SU, Wei XU, Liqi XU, Qin YANG, Yunli YANG. Effects of Percutaneous Transluminal Angioplasty Plus Open Operation in Hemodialysis Patients with Type I and II Upper Limb Arteriovenous Fistula Stenosis[J]. Journal of Kunming Medical University, 2022, 43(6): 52-55. doi: 10.12259/j.issn.2095-610X.S20220626

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Effects of Percutaneous Transluminal Angioplasty Plus Open Operation in Hemodialysis Patients with Type I and II Upper Limb Arteriovenous Fistula Stenosis

doi: 10.12259/j.issn.2095-610X.S20220626

Xixiong SU¹,
Wei XU²,
Liqi XU¹,
Qin YANG¹,
Yunli YANG^{3
,
,}

1.
Ultrasound Diagnostic Department，920th Hospital of Joint Logistic Support Force，PLA，Kunming Yunnan 650032
2.
Ultrasound Diagnostic Department，Kunming Tongren Hospital，Kunming Yunnan 650032
3.
Dept. of Anesthesiology，920th Hospital of Joint Logistic Support Force， PLA，Kunming Yunnan 650032，China

Received Date: 2022-04-05
Available Online: 2022-06-08
Publish Date: 2022-06-30

Abstract

Abstract

Objective To discuss the effects of percutaneous transluminal angioplasty （PTA） plus open operation in hemodialysis patients with type I and II upper limb arteriovenous fistula （AVF） stenosis. Methods Ninty hemodialysis patients who had type I and II AVF stenosis were randomly divided into three groups, 30 cases in each group, group A received the ultrasound-guided PTA, group B received the DSA （digital subtraction angiography）-guided PTA, group C received the PTA and open operation. The successful operation rate, blood vessel diameter, brachial artery blood flow and postoperative complications were compared. Results The successful operation rate in group C was significantly higher than group A and group B （P < 0.05）, and the postoperative complication rate in group C was significantly lower than group A and group B （P < 0.05）. Before surgery, the blood vessel diameter and brachial artery blood flow among groups showed no statistically significant difference （P > 0.05）, after surgery and after one week of surgery, the blood vessel diameter and brachial artery blood flow values in group C were significantly higher than group A and group B （P < 0.05）, after 6m and 12m of surgery, AVF patency rate in group C was significantly higher than group A and group B. Conclusions PTA combined with open operation is proven to be effective, which can recover the arteriovenous fistula function, guarantee the effective hemodialysis, and reduce the clinical trauma and complications. The easy method shall be primarily recommended for hemodialysis patients with arteriovenous fistula stenosis.
- Percutaneous transluminal angioplasty,
- Open operation,
- Hemodialysis,
- Upper limb,
- Arteriovenous fistula,
- Stenosis,
- Complications

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References(11)

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