Endovascular Treatment of Malfunctioning Dialysis Fistulas: A Multicenter Retrospective Analysis Comparing Transradial and Conventional Transvenous Access
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Wiley
2024
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| author | Roberto Minici Massimo Venturini Federico Fontana Giuseppe Guzzardi Federico Torre Marco Spinetta Andrea Coppola Filippo Piacentino Pasquale Guerriero Nicola De Rosi Biagio Apollonio Marco Franchin Francesco Giurazza Luca Brunese Domenico Laganà |
| author_facet | Roberto Minici Massimo Venturini Federico Fontana Giuseppe Guzzardi Federico Torre Marco Spinetta Andrea Coppola Filippo Piacentino Pasquale Guerriero Nicola De Rosi Biagio Apollonio Marco Franchin Francesco Giurazza Luca Brunese Domenico Laganà Roberto Minici Massimo Venturini Federico Fontana Giuseppe Guzzardi Federico Torre Marco Spinetta Andrea Coppola Filippo Piacentino Pasquale Guerriero Nicola De Rosi Biagio Apollonio Marco Franchin Francesco Giurazza Luca Brunese Domenico Laganà |
| collection | Wiley Open Access |
| contents | Endovascular Treatment of Malfunctioning Dialysis Fistulas: A Multicenter Retrospective Analysis Comparing Transradial and Conventional Transvenous Access Roberto Minici Massimo Venturini Federico Fontana Giuseppe Guzzardi Federico Torre Marco Spinetta Andrea Coppola Filippo Piacentino Pasquale Guerriero Nicola De Rosi Biagio Apollonio Marco Franchin Francesco Giurazza Luca Brunese Domenico Laganà Catheterization and Cardiovascular Interventions ABSTRACT Background Venous outflow is the favored access for endovascular management of dialysis fistulas. However, transradial access (TRA) offers advantages in specific clinical scenarios. The study aims to compare the efficacy, feasibility, and safety of TRA and transvenous access (TVA) in the endovascular management of malfunctioning dialysis fistulas, addressing the existing gap in comprehensive literature. Methods A retrospective multi‐center analysis included prospectively collected data (January 2021–November 2023) from patients undergoing endovascular management of malfunctioning dialysis fistulas with TRA. Control groups comprised patients with TVA. Results Of 206 patients, 62 underwent TRA, and 144 underwent TVA. Baseline demographics showed a well‐matched distribution. TRA exhibited longer cannulation times but similar procedural and fluoroscopy times. Technical success rates were high for both TRA (98.4%) and TVA (97.2%). Clinical success rates were comparable (96.8% vs. 95.8%). Postprocedure access flow rates and complications demonstrated no significant differences. Conclusions This study provides the first direct comparison of TRA and TVA in malfunctioning dialytic fistulas. While venous outflow remains the standard vascular access site for managing malfunctioning dialysis fistulas, TRA shows comparable efficacy, safety, and feasibility, making it a viable alternative in specific clinical contexts. Further studies are needed to confirm these findings and to determine the long‐term durability of TRA. 10.1002/ccd.31349 http://creativecommons.org/licenses/by-nc/4.0/ |
| doi_str_mv | 10.1002/ccd.31349 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_ccd_31349 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Endovascular Treatment of Malfunctioning Dialysis Fistulas: A Multicenter Retrospective Analysis Comparing Transradial and Conventional Transvenous Access Roberto Minici Massimo Venturini Federico Fontana Giuseppe Guzzardi Federico Torre Marco Spinetta Andrea Coppola Filippo Piacentino Pasquale Guerriero Nicola De Rosi Biagio Apollonio Marco Franchin Francesco Giurazza Luca Brunese Domenico Laganà Catheterization and Cardiovascular Interventions Endovascular Treatment of Malfunctioning Dialysis Fistulas: A Multicenter Retrospective Analysis Comparing Transradial and Conventional Transvenous Access Roberto Minici Massimo Venturini Federico Fontana Giuseppe Guzzardi Federico Torre Marco Spinetta Andrea Coppola Filippo Piacentino Pasquale Guerriero Nicola De Rosi Biagio Apollonio Marco Franchin Francesco Giurazza Luca Brunese Domenico Laganà Catheterization and Cardiovascular Interventions ABSTRACT Background Venous outflow is the favored access for endovascular management of dialysis fistulas. However, transradial access (TRA) offers advantages in specific clinical scenarios. The study aims to compare the efficacy, feasibility, and safety of TRA and transvenous access (TVA) in the endovascular management of malfunctioning dialysis fistulas, addressing the existing gap in comprehensive literature. Methods A retrospective multi‐center analysis included prospectively collected data (January 2021–November 2023) from patients undergoing endovascular management of malfunctioning dialysis fistulas with TRA. Control groups comprised patients with TVA. Results Of 206 patients, 62 underwent TRA, and 144 underwent TVA. Baseline demographics showed a well‐matched distribution. TRA exhibited longer cannulation times but similar procedural and fluoroscopy times. Technical success rates were high for both TRA (98.4%) and TVA (97.2%). Clinical success rates were comparable (96.8% vs. 95.8%). Postprocedure access flow rates and complications demonstrated no significant differences. Conclusions This study provides the first direct comparison of TRA and TVA in malfunctioning dialytic fistulas. While venous outflow remains the standard vascular access site for managing malfunctioning dialysis fistulas, TRA shows comparable efficacy, safety, and feasibility, making it a viable alternative in specific clinical contexts. Further studies are needed to confirm these findings and to determine the long‐term durability of TRA. 10.1002/ccd.31349 http://creativecommons.org/licenses/by-nc/4.0/ |
| title | Endovascular Treatment of Malfunctioning Dialysis Fistulas: A Multicenter Retrospective Analysis Comparing Transradial and Conventional Transvenous Access |
| topic | Catheterization and Cardiovascular Interventions |
| url | https://onlinelibrary.wiley.com/doi/10.1002/ccd.31349 |