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用大直径气球进行气球辅助成熟的结果

Amandeep Juneja¹, David E Wang², Litton Whitaker¹

¹Nuvance Health, Danbury, CT, USA.

The journal of vascular access

|August 16, 2024

概括

使用大型血管整形气球进行动脉静脉 (AVF) 的初始气球辅助成熟 (BAM),可显著提高成熟率,并缩短无导管血液透析 (HD) 的时间. 这种技术可以为需要透析的AVF患者带来更好的结果.

科学领域:

血管外科血管外科
腎臟病學 (nephrology) 是一種醫學.
干预性放射学干预性放射学

背景情况:

动脉静脉 (AVF) 的成熟对于成功的血液透析 (HD) 是至关重要的.
气球辅助成熟 (BAM) 用于不足的AVF.
优化最初的BAM技术对于改善患者的治疗结果至关重要.

研究的目的:

为了评估初始BAM的有效性,使用大直径血管造形气球 (≥7毫米).
为了比较接受大直径和小直径 (<7毫米) 气球的患者之间初始BAM的结果.
评估气球大小对AVF成熟,并发症和无导管HD的时间的影响.

主要方法:

在2018-2021年期间接受BAM的患者的回顾性审查.
两个组之间的结果比较:初始BAM与≥7毫米气球 (I组) 和<7毫米气球 (II组).
主要结果:AVF的成熟率. 二次结局:并发症,再干预率,静脉直径,以及没有导管的HD的时间.

主要成果:

第一组 (≥7毫米气球) 的AVF成熟率显著高 (97%对88%,p=0.003).
在I组观察到较大的初始静脉直径 (5.9毫米对5.1毫米,p=0.03) 和减少重新干预的需要.
第一个组的患者实现了无导管的HD更快 (29天对42天,p=0.002),60天的发病率更高 (83%对67%,p=0.001).

结论:

使用大直径血管造形气球的初始BAM与更高的AVF成熟率有关.
这种方法导致更少的再干预和更短的时间来实现无导管血液透析.
有利的基线特征往往与在BAM程序中成功使用更大的气球相关.

关键词:

动脉静脉状囊是一种动脉静脉状囊气球辅助成熟气球辅助成熟最终阶段的脏疾病.血液透析的访问权限

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