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Objective: The purpose of this study was to evaluate the fistulographic features of malfunctioning axillary loop-configured arteriovenous grafts and the efficacy of percutaneous interventions in failed axillary loop-configured arteriovenous grafts.

Materials and Methods: Ten patients with axillary loop-configured arteriovenous grafts were referred for evaluation of graft patency or upper arm swelling. Fistulography and percutaneous intervention, including thrombolysis, percutaneous transluminal angioplasty and stent placement, were performed. Statistical analysis of the procedure success rate and the primary and secondary patency rates was done.

Results: Four patients had graft related and subclavian venous stenosis, two patients had graft related stenosis and another four patients had subclavian venous stenosis only. Sixteen sessions of interventional procedures were performed in eight patients (average: 2 sessions / patient) until the end of follow-up. An interventional procedure was not done in two patients with central venous stenosis. The overall procedure success rate was 69% (11 of 16 sessions). The post-intervention primary and secondary patency rates were 50% and 63% at three months, 38% and 63% at six months and 25% and 63% at one year, respectively.

Conclusion: Dysfunctional axillary loop-configured arteriovenous grafts almost always had subclavian venous and graft-related stenosis. Interventional treatments are helpful to overcome this and these treatments are expected to play a major role in restoring and maintaining the axillary loop-configured arteriovenous loop grafts.

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권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
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참고문헌 (26건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Fan PY, Schwab SJ. Vascular access: concepts for the 1990s. J Am Soc Nephrol 1992;3:1-11 미소장
2 Exotic arteriovenous fistulas for hemodialysis 네이버 미소장
3 Axillary loop grafts for hemodialysis access: midterm results from a single-center study. 네이버 미소장
4 Prosthetic axillary-axillary arteriovenous straight access (necklace graft) for difficult hemodialysis patients: A prospective single-center experience 네이버 미소장
5 Arteriovenous Graft with Outflow in the Proximal Axillary Vein 네이버 미소장
6 Hemodialysis Graft Declotting: Description of the “Lyse and Wait” Technique 네이버 미소장
7 The Apex-Puncture Technique for Mechanical Thrombolysis of Loop Hemodialysis Grafts 네이버 미소장
8 Reporting standards for percutaneous interventions in dialysis access. 네이버 미소장
9 Femoral triangle sepsis in dialysis patients: frequency, management, and outcome. 네이버 미소장
10 Results and complications of arteriovenous access dialysis grafts in the lower extremity: a five year review. 네이버 미소장
11 Blankestijin PJ. Cuffed tunneled catheters for long-term vascular access. In: Conlon PJ, Schwab SJ, Nicholson ML (eds). Hemodialysis vascular access practice and problems. New York: University Press, 2001:67-68 미소장
12 Axillary-axillary bovine arteriovenous fistula for hemodialysis. 네이버 미소장
13 Duclos J, Gil F. Axillo-axillary prosthetic internal arteriovenous fistula as an alternative for vascular access in hemodialysis. Rev Med Chil 1988;116:49-51 미소장
14 Anterior chest wall axillary artery to contralateral axillary vein graft for vascular access in hemodialysis. 네이버 미소장
15 Axillo-axillary arteriovenous fistula as a suitable surgical alternative for chronic haemodialysis access. 네이버 미소장
16 Axillary grafts for difficult hemodialysis access. 네이버 미소장
17 Vascular access stenosis: Comparison of arteriovenous grafts and fistulas 네이버 미소장
18 Axillary and subclavian vein stenosis: percutaneous angioplasty. 네이버 미소장
19 Stenoses in dialysis fistulas: treatment with percutaneous angioplasty. 네이버 미소장
20 Asymptomatic central venous stenosis in hemodialysis patients. 네이버 미소장
21 Dialysis access grafts: anatomic location of venous stenosis and results of angioplasty. 네이버 미소장
22 Salvage of thrombosed dialysis access grafts with venous anastomosis stents. 네이버 미소장
23 Wallstents and Craggstents in Hemodialysis Grafts and Fistulas: Results for Selective Indications 네이버 미소장
24 Metallic stents deployed in synthetic arteriovenous hemodialysis grafts. 네이버 미소장
25 Patency of Wallstents placed across the venous anastomosis of hemodialysis grafts after percutaneous recanalization. 네이버 미소장
26 Metallic Stent Placement in Hemodialysis Graft Patients after Insufficient Balloon Dilation 소장