Use of the Amplatzer Type 2 Plug for Flow Redirection in Failing Autogenous Hemodialysis Fistulae

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dc.contributor.authorBozkurt, Alper
dc.contributor.authorKirbas, Ismail
dc.contributor.authorKasapoglu, Benan
dc.contributor.authorTeber, Mehmet Akif
dc.date.accessioned2025-10-24T18:08:47Z
dc.date.available2025-10-24T18:08:47Z
dc.date.issued2015
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractTo present our experience with redirecting the outflow of mature arteriovenous fistulae (AVFs) in patients with cannulation and/or suboptimal flow problems by percutaneous intervention using the Amplatzer Vascular Plug II (AVP II). We retrospectively reviewed patients who presented with difficulty in cannulation and/or suboptimal flow in the puncture zone of the AVF and who underwent intervention using the AVP II to redirect the outflow through a better cannulation zone from March 2009 to November 2012. The mean survival rate of all AVFs was estimated, and the effects of patient age, sex, and AVF age on the AVF survival time were determined. In total, 31 patients (17 male and 14 female) with a mean age of 57.8 years (range, 20-79 years) were included. In 2 patients, the AVF failed within the first 15 days because of rapid thrombosis. In 9 patients, the new AVF route was working effectively until unsalvageable thrombosis developed. One of the 31 patients died 9 months before the last radiologic evaluation. The new AVF route was still being used for dialysis in the remaining 19 patients. The mean AVF survival rate was 1,061.4 +/- A 139.4 days (range, 788-1,334 days). Patient age, sex, and AVF age did not affect the survival time. We suggest that the AVP II is useful for redirecting the outflow of AVFs with cannulation problems and suboptimal flow. Patency of existing AVFs may be extended, thereby extending surgery-free or catheter intervention-free survival period.
dc.identifier.doi10.1007/s00270-014-1030-y
dc.identifier.endpage893
dc.identifier.issn0174-1551
dc.identifier.issn1432-086X
dc.identifier.issue4
dc.identifier.pmid25465063
dc.identifier.scopus2-s2.0-84937524005
dc.identifier.scopusqualityQ1
dc.identifier.startpage887
dc.identifier.urihttps://doi.org/10.1007/s00270-014-1030-y
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3302
dc.identifier.volume38
dc.identifier.wosWOS:000358177900013
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofCardiovascular And Interventional Radiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectArteriovenous fistula; Renal failure; Amplatzer Plug Type II
dc.titleUse of the Amplatzer Type 2 Plug for Flow Redirection in Failing Autogenous Hemodialysis Fistulae
dc.typeArticle

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