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Comparison of drug-eluting and plain balloon angioplasty in the treatment of stenosis of vascular access for dialysis

Not Applicable
Completed
Conditions
Treatment with stenosis in the vascular access for dialysis in adult patients using percutaneous transluminal angioplasty
Surgery
Registration Number
ISRCTN11414306
Lead Sponsor
Charles University
Brief Summary

2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36556023/ (added 28/12/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
76
Inclusion Criteria

1. Aged >18 years old
2. Life expectancy >1 year
3. Clinically mature dialysis fistula (AVG or AVF) already used for hemodialysis with adequate pump speed and dialysis efficacy for at least 4 consecutive sessions with the two-needle technique
4. Signs of fistula dysfunction (absent thrill, low flow, high venous pressure, high pulsatility, needling problems, abnormal pulsatility, abnormal auscultation, extremity edema, etc)
5. Hemodynamically significant (>50%) stenosis in juxta-anastomotic or outflow vein of AVF (excluding central veins defined as veins medial to the lateral margin of the first rib) or in the venous anastomosis, juxta-anastomotic segment or outflow vein in AVG (excluding central veins).

Exclusion Criteria

1. Access circuit thrombosis in the last year
2. History of graft infection
3. Prior use of a drug-eluting balloon catheter in the access circuit
4. In-stent restenosis in bare metal or covered stent
5. Angiography contraindications (e.g. severe contrast media allergy)
6. Two or more distinct significant stenoses in the access circuit

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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