The Japanese Journal of Clinical Dialysis Vol.25 No.8(4-1)

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.
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