Drug-Eluting Balloon Angioplasty for Juxta-Anastomotic Stenoses in Distal Radiocephalic Hemodialysis Fistulas: Long-Term Patency Results.

Abstract

To evaluate long-term primary and secondary patency results of drug-eluting balloon angioplasty for the treatment of juxta-anastomotic stenoses in distal radiocephalic arteriovenous fistulas. Thirty-eight patients with juxta-anastomotic stenotic distal radiocephalic arteriovenous fistulas who underwent endovascular treatment with drug-eluting balloons between January 2014 and August 2016 in our interventional radiology department were included in this retrospective study. Color Doppler examination for follow-up was performed 15days, 6months, 12months, 18months, 24months, 36months, and 48months after the procedure. Kaplan-Meier analysis was used to estimate primary and secondary patency rates. Totally, 42 angioplasty with drug-eluting balloons was performed in 38 patients (20 men and 18 women; mean age 66.42 ± 12.01). Technical and clinical success rate was 100% (42/42). The mean follow-up period was 27.71months ± 12.98 (range, 1-54months). The estimated primary patency rates at 6months were 94.7% (95% CI, 80.9%-99.0%), at 12months were 81.2% (95% CI, 64.6%-91.4%), at 24months were 60.7% (95% CI, 43.6%-75.7%), and at 48months were 53.1% (95% CI, 36.5%-69.1%). The estimated secondary patency rates at 6months were 97.3% (95% CI, 84.5%-99.8%), at 12months were 86.5% (95% CI, 70.7%-94.8%), at 24months were 69.0% (95% CI, 51.8%-82.4%), and at 48months were 61.7% (95% CI, 44.6%-76.5%). Drug-eluting balloon angioplasty is a useful, effective technique in dysfunctional radiocephalic fistulas due to juxta-anastomotic stenoses. We demonstrated remarkably high primary patency rates at 6, 12, 24, and 48months.