Application of High-Pressure Balloon Angioplasty Combined with Manual Thrombectomy in Stenosed Thrombosed Upper Extremity Autogenous Arteriovenous Fistulas
Abstract
with manual thrombectomy in treating stenosed thrombosed upper extremity autogenous arteriovenous fistulas (AVFs). Methods: A total of 47
dialysis patients diagnosed with stenosed thrombosed AVFs at The First Peoples Hospital of Yibin from February 2021 to February 2024 were
enrolled. Clinical outcomes, including technical success rate, complications, brachial artery peak systolic velocity (PSV), post-procedural first
dialysis pump-controlled blood flow, and primary patency rates free from clinically driven target lesion revascularization (CD-TLR), were analyzed. Statistical analysis was performed using SPSS 26.0, with continuous variables compared by t-test and categorical variables by ? test.
A P-value <0.05 was considered statistically significant. Results: The combined technique demonstrated a high success rate and low complication incidence. Significant differences in brachial artery PSV were observed before and after the procedure, and all successful cases completed
the first dialysis session smoothly. During the 12-month follow-up, primary patency rates free from CD-TLR were 95.65%, 78.26%, 54.34%,
and 45.65%, respectively. Conclusion: High-pressure balloon angioplasty combined with manual thrombectomy is a safe and effective approach for stenosed thrombosed upper extremity AVFs, warranting clinical.
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DOI: http://dx.doi.org/10.70711/mhr.v2i6.6855
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