Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula
This study aimed to investigate ultrasound features of arteriovenous fistula stenosis and their relationship with primary patency after percutaneous transluminal angioplasty (post-intervention primary patency) and compare this classification with that using lesion location. Hemodialysis patients who...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2294148 |
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| author | Yin Wang Xiao-mei Huang Yi Zhang Jingjing Li Jun Li Zheng Ye Yu Peng Xian-jin Zhang Na Tang Wen-wen Qiu Li Xu |
| author_facet | Yin Wang Xiao-mei Huang Yi Zhang Jingjing Li Jun Li Zheng Ye Yu Peng Xian-jin Zhang Na Tang Wen-wen Qiu Li Xu |
| author_sort | Yin Wang |
| collection | DOAJ |
| description | This study aimed to investigate ultrasound features of arteriovenous fistula stenosis and their relationship with primary patency after percutaneous transluminal angioplasty (post-intervention primary patency) and compare this classification with that using lesion location. Hemodialysis patients who underwent ultrasound-guided percutaneous transluminal angioplasty for arteriovenous fistula stenosis from July 2020 to December 2021 were retrospectively evaluated. Lesions (excluding inflow arteries) were categorized into five groups based on ultrasound features, and the clinical characteristics and risk factors affecting the post-intervention primary patency of the arteriovenous fistula were analyzed. Among 185 patients, 100 (54.05%), 36 (19.46%), 22 (11.89%), 11 (5.95%), and 16 (8.65%) were classified into the intima-dominant, non-intima-dominant, valve obstruction, vascular calcification, and mixed groups, respectively. The dialysis duration and arteriovenous fistula use time were the highest in the vascular calcification group at 86 (interquartile range: 49–140) and 77 (interquartile range: 49–110) months, respectively. Diabetes mellitus was most common in the intima-dominant group (42.0%). In Kaplan–Meier and univariate Cox analysis, type III lesion location (stenosis in the venous confluence site) was associated with the lower post-intervention primary patency. In the multivariate Cox analysis, percutaneous transluminal angioplasty times (the number of times patients were treated with percutaneous transluminal angioplasty for arteriovenous fistula stenosis dysfunction), vascular calcification, calcification at the lesion site requiring percutaneous transluminal angioplasty, and serum parathyroid hormone levels were independent risk factors for post-intervention primary patency. Ultrasound features showed that calcification of the arteriovenous fistula was detrimental to the post-intervention primary patency of arteriovenous fistula. |
| format | Article |
| id | doaj-art-f96756e0cc38419da69abca0f0f1e818 |
| institution | Kabale University |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-f96756e0cc38419da69abca0f0f1e8182025-01-23T04:17:48ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2023.2294148Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistulaYin Wang0Xiao-mei Huang1Yi Zhang2Jingjing Li3Jun Li4Zheng Ye5Yu Peng6Xian-jin Zhang7Na Tang8Wen-wen Qiu9Li Xu10Department of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Ultrasound, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Ultrasound, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Nephrology, Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Wuhan, ChinaDepartment of Nephrology, Union Jiangbei Hospital of Huazhong University of Science and Technology, Wuhan Caidian District People’s Hospital, Wuhan, ChinaDepartment of Nephrology, Wuhan Huangpi District People’s Hospital, Wuhan, ChinaDepartment of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaThis study aimed to investigate ultrasound features of arteriovenous fistula stenosis and their relationship with primary patency after percutaneous transluminal angioplasty (post-intervention primary patency) and compare this classification with that using lesion location. Hemodialysis patients who underwent ultrasound-guided percutaneous transluminal angioplasty for arteriovenous fistula stenosis from July 2020 to December 2021 were retrospectively evaluated. Lesions (excluding inflow arteries) were categorized into five groups based on ultrasound features, and the clinical characteristics and risk factors affecting the post-intervention primary patency of the arteriovenous fistula were analyzed. Among 185 patients, 100 (54.05%), 36 (19.46%), 22 (11.89%), 11 (5.95%), and 16 (8.65%) were classified into the intima-dominant, non-intima-dominant, valve obstruction, vascular calcification, and mixed groups, respectively. The dialysis duration and arteriovenous fistula use time were the highest in the vascular calcification group at 86 (interquartile range: 49–140) and 77 (interquartile range: 49–110) months, respectively. Diabetes mellitus was most common in the intima-dominant group (42.0%). In Kaplan–Meier and univariate Cox analysis, type III lesion location (stenosis in the venous confluence site) was associated with the lower post-intervention primary patency. In the multivariate Cox analysis, percutaneous transluminal angioplasty times (the number of times patients were treated with percutaneous transluminal angioplasty for arteriovenous fistula stenosis dysfunction), vascular calcification, calcification at the lesion site requiring percutaneous transluminal angioplasty, and serum parathyroid hormone levels were independent risk factors for post-intervention primary patency. Ultrasound features showed that calcification of the arteriovenous fistula was detrimental to the post-intervention primary patency of arteriovenous fistula.https://www.tandfonline.com/doi/10.1080/0886022X.2023.2294148Arteriovenous fistulastenosispercutaneous transluminal angioplastyprimary patencysonographic classificationneointimal hyperplasia |
| spellingShingle | Yin Wang Xiao-mei Huang Yi Zhang Jingjing Li Jun Li Zheng Ye Yu Peng Xian-jin Zhang Na Tang Wen-wen Qiu Li Xu Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula Renal Failure Arteriovenous fistula stenosis percutaneous transluminal angioplasty primary patency sonographic classification neointimal hyperplasia |
| title | Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula |
| title_full | Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula |
| title_fullStr | Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula |
| title_full_unstemmed | Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula |
| title_short | Comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula |
| title_sort | comparison of ultrasound features and lesion sites in dysfunctional arteriovenous fistula |
| topic | Arteriovenous fistula stenosis percutaneous transluminal angioplasty primary patency sonographic classification neointimal hyperplasia |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2294148 |
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