Endovascular treatment of iatrogenic central vein stenosis and occlusion in patients undergoing haemodialysis : a two-year follow-up

2016
journal article
article
cris.lastimport.wos2024-04-09T18:21:29Z
dc.abstract.enObjectives: The objective of our report was to present the results of two-year follow-up of endovascular treatment of central venous occlusive disease in haemodialysis patients. Material and methods: Eighty-one consecutive patients with central venous occlusive disease, were included into the study group. There were 81 lesions treated (42 stenosis and 39 occlusions). Percutaneous transluminal angioplasty (PTA) or percutaneous transluminal angioplasty with stenting (PTS) was committed. There was no randomisation. Stent implantation was avoided in vessels with a foreign body inside (catheter or electrode). Diagnostic phlebographies were performed after 12 and 24 months or if symptoms recurred. The follow-up period lasted for 24 months. There were 26 (70%) patients with primary stenosis and 11 (29%) with occlusion in the group with PTA therapy and 13 (38%) and 21 (61%) in the group with PTS therapy. Procedure was successful in all cases of stenosis, unsuccessful in 10 cases of occlusions. Seventeen patients died during first year of observation, 9 during the second. Two patients were lost to follow up. No serious adverse events were observed. Results: Primary patency (PP) after 12 and 24 months was 50% and 26% after PTS, 33% and 21% after PTA respectively. Primary assisted patency (PAP) was 70% and 52% in PTS group while 86% and 92% in PTA group. Secondary patency (SP) 70% and 52% after PTS to 93% and 92% after PTA. Conclusions: Both methods are safe and mildly effective in the treatment of central veins in haemodialysis patients. Both techniques should be applicable in specific clinical settings according to patient status and operator experience.pl
dc.affiliationWydział Lekarski : Klinika Angiologiipl
dc.affiliationWydział Lekarski : Klinika Alergii i Immunologiipl
dc.cm.date2020-01-07
dc.cm.id93091
dc.contributor.authorMaga, Paweł - 130791 pl
dc.contributor.authorKościelniak, Jolanta K.pl
dc.contributor.authorKaczmarczyk, Paweł - 148056 pl
dc.contributor.authorKrzanowski, Marekpl
dc.contributor.authorBelowski, Andrzejpl
dc.contributor.authorPartyka, Łukaszpl
dc.contributor.authorKuczia, Paweł - 139212 pl
dc.contributor.authorNiżankowski, Rafał - 132990 pl
dc.date.accessioned2020-01-17T10:06:49Z
dc.date.available2020-01-17T10:06:49Z
dc.date.issued2016pl
dc.date.openaccess12
dc.description.accesstimepo opublikowaniu
dc.description.number2-3pl
dc.description.physical46-49pl
dc.description.points9pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume24pl
dc.identifier.doi10.5114/pr.2016.65519pl
dc.identifier.eissn1509-5738pl
dc.identifier.issn1232-7174pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/145466
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.source.integratorfalse
dc.subject.enhaemodialysispl
dc.subject.enstentingpl
dc.subject.enballoon angioplastypl
dc.subject.enendovascular treatmentpl
dc.subject.encentral veinpl
dc.subtypeArticlepl
dc.titleEndovascular treatment of iatrogenic central vein stenosis and occlusion in patients undergoing haemodialysis : a two-year follow-uppl
dc.title.journalPrzegląd Flebologicznypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T18:21:29Z
dc.abstract.enpl
Objectives: The objective of our report was to present the results of two-year follow-up of endovascular treatment of central venous occlusive disease in haemodialysis patients. Material and methods: Eighty-one consecutive patients with central venous occlusive disease, were included into the study group. There were 81 lesions treated (42 stenosis and 39 occlusions). Percutaneous transluminal angioplasty (PTA) or percutaneous transluminal angioplasty with stenting (PTS) was committed. There was no randomisation. Stent implantation was avoided in vessels with a foreign body inside (catheter or electrode). Diagnostic phlebographies were performed after 12 and 24 months or if symptoms recurred. The follow-up period lasted for 24 months. There were 26 (70%) patients with primary stenosis and 11 (29%) with occlusion in the group with PTA therapy and 13 (38%) and 21 (61%) in the group with PTS therapy. Procedure was successful in all cases of stenosis, unsuccessful in 10 cases of occlusions. Seventeen patients died during first year of observation, 9 during the second. Two patients were lost to follow up. No serious adverse events were observed. Results: Primary patency (PP) after 12 and 24 months was 50% and 26% after PTS, 33% and 21% after PTA respectively. Primary assisted patency (PAP) was 70% and 52% in PTS group while 86% and 92% in PTA group. Secondary patency (SP) 70% and 52% after PTS to 93% and 92% after PTA. Conclusions: Both methods are safe and mildly effective in the treatment of central veins in haemodialysis patients. Both techniques should be applicable in specific clinical settings according to patient status and operator experience.
dc.affiliationpl
Wydział Lekarski : Klinika Angiologii
dc.affiliationpl
Wydział Lekarski : Klinika Alergii i Immunologii
dc.cm.date
2020-01-07
dc.cm.id
93091
dc.contributor.authorpl
Maga, Paweł - 130791
dc.contributor.authorpl
Kościelniak, Jolanta K.
dc.contributor.authorpl
Kaczmarczyk, Paweł - 148056
dc.contributor.authorpl
Krzanowski, Marek
dc.contributor.authorpl
Belowski, Andrzej
dc.contributor.authorpl
Partyka, Łukasz
dc.contributor.authorpl
Kuczia, Paweł - 139212
dc.contributor.authorpl
Niżankowski, Rafał - 132990
dc.date.accessioned
2020-01-17T10:06:49Z
dc.date.available
2020-01-17T10:06:49Z
dc.date.issuedpl
2016
dc.date.openaccess
12
dc.description.accesstime
po opublikowaniu
dc.description.numberpl
2-3
dc.description.physicalpl
46-49
dc.description.pointspl
9
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
24
dc.identifier.doipl
10.5114/pr.2016.65519
dc.identifier.eissnpl
1509-5738
dc.identifier.issnpl
1232-7174
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/145466
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-SA
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.source.integrator
false
dc.subject.enpl
haemodialysis
dc.subject.enpl
stenting
dc.subject.enpl
balloon angioplasty
dc.subject.enpl
endovascular treatment
dc.subject.enpl
central vein
dc.subtypepl
Article
dc.titlepl
Endovascular treatment of iatrogenic central vein stenosis and occlusion in patients undergoing haemodialysis : a two-year follow-up
dc.title.journalpl
Przegląd Flebologiczny
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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