Article

Balloon angioplasty versus surgical revision for thrombosed dialysis graft outlet stenosis after graft thrombectomy.

Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Angiology (impact factor: 1.51). 05/2010; 61(6):580-3. DOI:10.1177/0003319710364211 pp.580-3
Source: PubMed

ABSTRACT It is important to correct underlying graft outlet stenosis after thrombectomy of dialysis grafts. This study retrospectively reviewed patients who received dialysis graft thrombectomy at this institution to compare the effectiveness of 2 different methods.
A total of 289 dialysis graft thrombectomy procedures performed during 2001-2003 were retrospectively reviewed. The results of 163 cases in balloon angioplasty group were compared with those of 129 patients who underwent outlet revision. Patient characteristics between the 2 groups were similar with regard to demographic characteristics and comorbidities (P > .05). The mean primary patency of balloon and revision groups are 7.23 +/- 7.38 and 8.35 +/- 9.53 (months), respectively. Survival curves for each group were calculated by Kaplan-Meier method. There was no difference between 2 groups regarding graft patency.
The result of dialysis graft outlet balloon angioplasty was comparable to that of surgical revision. Considering the invasiveness, balloon angioplasty should be considered when treating thrombosed dialysis grafts.

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Keywords

2 different methods
 
2 groups
 
289 dialysis graft thrombectomy procedures
 
balloon angioplasty
 
balloon angioplasty group
 
comorbidities
 
demographic characteristics
 
dialysis graft outlet balloon angioplasty
 
dialysis graft thrombectomy
 
dialysis grafts
 
graft outlet stenosis
 
Kaplan-Meier method
 
mean primary patency
 
Patient characteristics
 
patients
 
Survival curves
 
thrombosed dialysis grafts