Intraoperative Balloon Angioplasty Using Fogarty Artertial Embolectomy Balloon Catheter for Creation of Arteriovenous Fistula for Hemodialysis: Single Center Experience

• Published in: Journal of chest surgery 2015, 48(2), , pp.120-125
• Main Authors: 진모란, 윤영철, 위진홍, 이양행, 한일용, 박경택
• Format: Article
• Language: English
• Subjects: 흉부외과학
• ISSN: 2765-1606; 2765-1614

Background: The purpose of this study was to evaluate the use of a Fogarty arterial embolectomy catheter(Fogarty catheter) in intraoperative balloon angioplasty of the cephalic vein, in order to determine its effect on thepatency of arteriovenous fistulas (AVFs) created for hemodialysis access. Methods: A total of 156 patients who underwentcreation of an AVF were divided into two groups, based whether a Fogarty catheter was used duringAVF creation. Group A (89 patients) comprised the patients who underwent balloon angioplasty with a Fogartycatheter during the operation. Group B (67 patients) included the patients in whom a Fogarty catheter was notused during the operation. Patient records were reviewed retrospectively and documented. The patency rate was determinedby the Kaplan-Meier method. Results: The records of 156 patients who underwent the creation of an AVFfrom January 2007 to October 2011 were included. The mean follow-up duration was 40.2±19.4 months (range, 1to 97 months). The patency rates in group A at 12, 36, and 72 months were 83.9%±3.9%, 78.3%±4.6%, and76.3%±4.9%, respectively, while the corresponding patency rates in group B were 92.5%±3.2%, 82.8%±0.5%, and79.9%±5.7%, respectively. The patency rates in group B were found to be slightly higher than those in group A,but the difference was not statistically significant (p=0.356). Conclusion: Intraoperative balloon angioplasty of thecephalic vein using the Fogarty catheter is a simple and easily reproducible procedure, and it can be helpful in increasingAVF patency in cases of insufficient runoff or a suboptimal cephalic vein. KCI Citation Count: 0