Abstract
The wide variance in vascular access intervention outcomes reflects the heterogeneity of sampled populations, cohort sample size, definition of outcomes and treatment, and statistical techniques used. A general overview of published data suggests that dilation confers better outcomes than AVF thrombectomy, and outcomes are superior in mature compared to nonmature AVFs. It would seem based on preliminary data so far that arterial stenoses have a lower rate of restenosis than venous stenoses. Endovascular interventions on prosthetic grafts have poorer medium to long-term results compared to AVFs. With regard to percutaneous thrombectomy, technical success rates seem to be better in prosthetic grafts compared to AVFs, but primary patency rates converge rapidly and grafts ultimately fair less well mainly due to recurrent thrombosis. Forearm fistulas have superior outcomes overall.
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Turmel-Rodrigues, L., Renaud, C.J. (2013). Vascular Access Intervention Outcomes. In: Diagnostic and Interventional Radiology of Arteriovenous Accesses for Hemodialysis. Springer, Paris. https://doi.org/10.1007/978-2-8178-0366-1_15
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DOI: https://doi.org/10.1007/978-2-8178-0366-1_15
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