지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 25 - 31 (7page)
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초록· 키워드
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Purpose:
This study aimed to compare the efficacy of two different catheters in hybrid surgery for salvage of thrombosed hemodialysis accesses.
Materials and Methods:
The hybrid salvage procedure (surgical thrombectomy followed by endovascular angioplasty) of the thrombosed hemodialysis access, was performed using adherent clot (AC) catheter in 140 cases and Fogarty balloon catheter in 68 cases. Procedure-related outcomes such as the clot removal status, clinical success, complications, and primary patency rates were analyzed retrospectively.
Results:
The proportion of cases with good clot removal scores in the AC catheter and Fogarty balloon catheter groups was 77.9% and 91.2%, respectively (P=0.018). Clinical success was achieved in 90.7% of the cases in the AC catheter group and in 98.5% of the cases in the balloon catheter group (P=0.035). The mean patency rates of the two groups were 50.7% and 63.2% at 3 months, 40.7% and 47.1% at 6 months, and 17.9% and 19.1% at 12 months. The complication rates (12.1% and 5.9%) and primary patency rates between the two catheters were not statistically different (P=0.328). On the analysis of the patency rate on access type of autologous (P=0.169) and prothetic graft (P=0.423), there was no significant difference between the two catheter groups.
Conclusion:
In terms of clot removal and clinical success, the AC catheter did not demonstrate better outcomes than the Fogarty balloon catheter. However, primary patency was not related to the type of catheter. Adherent clot catheter can be a useful alternative to Fogarty balloon catheter for thrombosed hemodialysis access.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Brenner L / 2006 / Associations between demographic factors and provider structures on cost and length of stay for hemodialysis patients with vascular access failure / Clin J Am Soc Nephrol 1:455~461
Sawant A / 2013 / Increased length of stay and costs associated with inpatient management of vascular access failures / Semin Dial 26:106~110
National Kidney Foundation / 2012 / KDOQI clinical practice guideline for diabetes and CKD: 2012 update / Am J Kidney Dis 60:850~886
Sidawy AN / 2008 / The Society for Vascular Surgery:clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access / J Vasc Surg 48(5 Suppl):2S~25S
Smits HF / 2002 / Percutaneous thrombolysis of thrombosed haemodialysis access grafts: comparison of three mechanical devices / Nephrol Dial Transplant 17:467~473
Sawant A / 2013 / Increased length of stay and costs associated with inpatient management of vascular access failures / Semin Dial 26:106~110
National Kidney Foundation / 2012 / KDOQI clinical practice guideline for diabetes and CKD: 2012 update / Am J Kidney Dis 60:850~886
Sidawy AN / 2008 / The Society for Vascular Surgery:clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access / J Vasc Surg 48(5 Suppl):2S~25S
Smits HF / 2002 / Percutaneous thrombolysis of thrombosed haemodialysis access grafts: comparison of three mechanical devices / Nephrol Dial Transplant 17:467~473
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