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Use of a novel tapered, scoring balloon to treat juxta-anastomotic stenosis in AV fistula. | LitMetric

AI Article Synopsis

  • Juxta-anastomotic stenosis is a common issue in arteriovenous fistulas, making it tricky to choose the right balloon size for treatment.
  • A study analyzed ten patients who underwent treatment with a new tapered scoring balloon catheter, designed with a conical shape and non-slip elements.
  • The results showed successful procedures with no complications, and patency rates of 80% at 6 months and 50% at 12 months, indicating this method is a safe and effective option for managing stenosis.

Article Abstract

Background: Juxta-anastomotic stenosis, the most common lesion in arteriovenous fistula, creates a dilemma for optimal balloon size choosing during PTA.

Objectives: To descript the effect of a novel tapered scoring balloon catheter (DK Medtech, Suzhou, China) which has a conical shape with an increasing diameter from the front part of the balloon to the end, and three non-slip elements attached on the surface of the balloon.

Research Design: Case series of 10 patients used this balloon catheter was retrospectively analyzed.

Subjects: Patients with juxta-anastomotic stenosis.

Measures: A retrospective review of 10 cases using the novel tapered, scoring balloon catheter in our center was performed.

Results: All cases were clinical technique success. The average total procedure time was 16.7 min with 2:14 of fluoroscopy time. No complications such as vascular rupture or dissection occurred. The primary patency rates at 6 and 12 month were 80% and 50% separately.

Conclusions: This tapered scoring balloon provides an economical, safe, and efficient management for juxta-anastomotic stenosis.

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Source
http://dx.doi.org/10.1177/11297298231195730DOI Listing

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