Theme |
Progresses and Problems in Vascular Access for Hemodialysis |
Title |
The strategy for reduction of restenosis : radiation |
Publish Date |
2009/07 |
Author |
Kazutaka Kukita |
Department of Surgery, Sapporo Hokuyu Hospital |
Author |
Junichi Iida |
Department of Surgery, Sapporo Hokuyu Hospital |
Author |
Hidenori Furui |
Department of Surgery, Sapporo Hokuyu Hospital |
Author |
Seiichiro Tuchihashi |
Department of Surgery, Sapporo Hokuyu Hospital |
Author |
Motoki Yonekawa |
Department of Surgery, Sapporo Hokuyu Hospital |
Author |
Akio Kawamura |
Department of Surgery, Sapporo Hokuyu Hospital |
[ Summary ] |
We examined the restenosis reduction effects ofarterio-venous fistula with endovascular radiation in dialysis patients after percutaneous transluminal balloon angioplasty (PTA). At 3, 6, 9, 12 and 24 months, the patency rates for arterio-venous fistula were higher in the radiated groupthan in the non radiated group. The rates for the two groups were 97.6%,66.2%,39.6%,31.6%,13.1% vs. 49.4%,37.7%,26.2%,20.5%,2.7%,p=0.0039. The additional endovascular radiation therapy after vascular access intervention therapy can prolong the patency ofarterio-venous fistula. |