PMID- 25103258
OWN - NLM
STAT- MEDLINE
DCOM- 20150409
LR  - 20161125
IS  - 1097-6809 (Electronic)
IS  - 0741-5214 (Linking)
VI  - 61
IP  - 2
DP  - 2015 Feb
TI  - Juxta-anastomotic stenting with aggressive angioplasty will salvage the native 
      radiocephalic fistula for dialysis.
PG  - 436-42
LID - S0741-5214(14)01123-9 [pii]
LID - 10.1016/j.jvs.2014.05.097 [doi]
AB  - OBJECTIVE: This study describes our technique of aggressive angioplasty with 
      juxta-anastomotic stenting (JXAS) in the autogenous arteriovenous fistula and 
      reviews our outcomes with this technique in its mature form. METHODS: We 
      developed a JXAS technique during the last 7 years. Since 2006, we have placed 
      135 JXASs. The study period reviews 68 consecutive JXASs placed from 2008 to 2012 
      using the mature technique. We retrospectively analyzed the prospectively 
      collected data. Thirty-three fistulas received JXAS for failure to mature, and 35 
      were mature but inadequately dialyzing fistulas (problem fistulas). The JXAS 
      technique involves (1) treating the JXA segment as a unit, (2) aggressive 
      angioplasty with rupture of stenoses, and (3) placement of an uncovered nitinol 
      stent. RESULTS: Technical success was 97%. Of the fistulas that had failed to 
      mature, 75% were brought to maturity by 6 months and 88% by 12 months. Adequate 
      dialysis was achieved in all 35 problem fistulas immediately postoperatively. 
      Assisted fistula patency was 90% at 2 years and 80% at 4 years. CONCLUSIONS: JXAS 
      is an effective technique for maturing and maintaining the wrist radiocephalic 
      arteriovenous fistula.
CI  - Crown Copyright (c) 2015. Published by Elsevier Inc. All rights reserved.
FAU - Swinnen, John
AU  - Swinnen J
AD  - Vascular Surgery, Westmead Hospital, University of Sydney Medical School, Sydney, 
      New South Wales, Australia. Electronic address: john_swinnen@bluebottle.com.
FAU - Lean Tan, Kia
AU  - Lean Tan K
AD  - Vascular Surgery, Westmead Hospital, University of Sydney Medical School, Sydney, 
      New South Wales, Australia.
FAU - Allen, Richard
AU  - Allen R
AD  - Vascular Surgery, Westmead Hospital, University of Sydney Medical School, Sydney, 
      New South Wales, Australia.
FAU - Burgess, David
AU  - Burgess D
AD  - Department of Cardiology, Blacktown Hospital, University of Sydney Medical 
      School, Sydney, New South Wales, Australia.
FAU - Mohan, Irwin V
AU  - Mohan IV
AD  - Vascular Surgery, Westmead Hospital, University of Sydney Medical School, Sydney, 
      New South Wales, Australia.
LA  - eng
PT  - Journal Article
DEP - 20140805
PL  - United States
TA  - J Vasc Surg
JT  - Journal of vascular surgery
JID - 8407742
RN  - 0 (Alloys)
RN  - 2EWL73IJ7F (nitinol)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Alloys
MH  - Angioplasty, Balloon/*instrumentation
MH  - Arteriovenous Shunt, Surgical/*adverse effects/methods
MH  - Constriction, Pathologic
MH  - Female
MH  - Graft Occlusion, Vascular/diagnosis/etiology/physiopathology/*therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prosthesis Design
MH  - Radial Artery/physiopathology/*surgery
MH  - Regional Blood Flow
MH  - *Renal Dialysis
MH  - Retrospective Studies
MH  - *Stents
MH  - Time Factors
MH  - Treatment Outcome
MH  - Vascular Patency
MH  - Veins/physiopathology/*surgery
MH  - Wrist/*blood supply
MH  - Young Adult
EDAT- 2014/08/12 06:00
MHDA- 2015/04/10 06:00
CRDT- 2014/08/09 06:00
PHST- 2013/12/02 00:00 [received]
PHST- 2014/05/31 00:00 [accepted]
PHST- 2014/08/09 06:00 [entrez]
PHST- 2014/08/12 06:00 [pubmed]
PHST- 2015/04/10 06:00 [medline]
AID - S0741-5214(14)01123-9 [pii]
AID - 10.1016/j.jvs.2014.05.097 [doi]
PST - ppublish
SO  - J Vasc Surg. 2015 Feb;61(2):436-42. doi: 10.1016/j.jvs.2014.05.097. Epub 2014 Aug 
      5.