초록접수 현황
| 14F-024 | 포럼 발표 |
Intraoperative Balloon Angioplasty Using Fogarty Artertial Embolectomy Balloon Catheter for Creation of Arteriovenous Fistula for Hemodialysis : Single Center Experience
진모란, 윤영철, 위진홍, 이양행, 한일용, 박경택
인제대학교 의과대학 부산백병원 흉부외과학교실
Background : The purpose of this study was to evaluate the effect of intraoperative balloon angioplasty of the cephalic vein using Fogarty arterial embolectomy catheter (Fogarty catheter) of the cephalic vein on the patency of arteriovenous fistula (AVF) for hemodialysis.
Methods : 156 patients who underwent creation of the AVF were divided into two groups based on the use of Fogarty catheter. Group A(89 patients) included the patients who underwent balloon angioplasty with Fogarty catheter during the operation. Group B (67 patients) included the patients in whom Fogarty catheter was not used during operation. The patient records were reviewed retrospectively and documented. Patency rate was determined by the Kaplan-Meier method.
Results : From Jan 2007 to Oct 2011, a total of 156 patients were included. Mean follow up duration was 40.2 ± 19.4 (1-97months) months. Patency rates at 12, 36 and 72 months were 83.9 ± 3.9%, 78.3 ± 4.6% and 76.3 ± 4.9%, respectively in group A, and 92.5 ± 3.2%, 82.8 ± 0.5% and 79.9 ± 5.7%, respectively in group B. Patency rates in group B were found to be slightly higher than those in group A, but there was no statistically significant difference. (p=0.356)
Conclusion : Intraoperative balloon angioplasty of the cephalic vein using Fogarty catheter is a simple and easily reproducible procedure, and it can be helpful for increasing the patency of an AVF in the insufficient run-off and suboptimal cephalic vein.
Methods : 156 patients who underwent creation of the AVF were divided into two groups based on the use of Fogarty catheter. Group A(89 patients) included the patients who underwent balloon angioplasty with Fogarty catheter during the operation. Group B (67 patients) included the patients in whom Fogarty catheter was not used during operation. The patient records were reviewed retrospectively and documented. Patency rate was determined by the Kaplan-Meier method.
Results : From Jan 2007 to Oct 2011, a total of 156 patients were included. Mean follow up duration was 40.2 ± 19.4 (1-97months) months. Patency rates at 12, 36 and 72 months were 83.9 ± 3.9%, 78.3 ± 4.6% and 76.3 ± 4.9%, respectively in group A, and 92.5 ± 3.2%, 82.8 ± 0.5% and 79.9 ± 5.7%, respectively in group B. Patency rates in group B were found to be slightly higher than those in group A, but there was no statistically significant difference. (p=0.356)
Conclusion : Intraoperative balloon angioplasty of the cephalic vein using Fogarty catheter is a simple and easily reproducible procedure, and it can be helpful for increasing the patency of an AVF in the insufficient run-off and suboptimal cephalic vein.
책임저자: 윤영철
인제대학교 의과대학 부산백병원 흉부외과학교실
연락처 : 진모란, Tel: 051-890-6834 , E-mail : peonian@hotmail.com
