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Expert consensus on standardized operating procedures of ultrasound-guided percutaneous transluminal angioplasty of arteriovenous access

  • ZHANG Li-Hong ,
  • WANG Yu-Zhu
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  • Blood Purification Center Branch of Chinese Hospital Association

Received date: 2024-05-27

  Revised date: 2024-09-14

  Online published: 2024-12-12

Abstract

Stenosis and occlusion are common complications of arteriovenous access, and percutaneous transluminal angioplasty is the first-line treatment for these complication. In recent years, ultrasound-guided percutaneous transluminal angioplasty is gradually being developed in China. However, there is currently a lack of uniformity in treatment concepts and technical operations among various units. Some doctors may not grasp the details properly, or use equipment in a standardized way, which may result in unsatisfactory treatment outcomes and a higher incidence of procedure-related complications. Meanwhile, there are still many units in need of adopting this technology. Given these issues, this expert consensus compiled by the Vascular Access Expert Committee of the Blood Purification Center Branch of the Chinese Hospital Association, combined evidence-based medicine and clinical practice experience, systematically introduced the standardized operation procedures for ultrasound-guided percutaneous transluminal angioplasty of arteriovenous access. The aim of this consensus is to promote, standardize, and improve the performance of ultrasound-guided arteriovenous access percutaneous transluminal angioplasty, benefiting hemodialysis patients in our country.

Cite this article

ZHANG Li-Hong , WANG Yu-Zhu . Expert consensus on standardized operating procedures of ultrasound-guided percutaneous transluminal angioplasty of arteriovenous access[J]. Chinese Journal of Blood Purification, 2024 , 23(12) : 881 -890 . DOI: 10.3969/j.issn.1671-4091.2024.12.001

References

[1]金其庄, 王玉柱, 叶朝阳等.中国血液透析用血管通路专家共识第版[J].中国血液净化, 2019, 18(06):365-81 [2]Lok CE, Huber TS, Lee T, et al.KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update[J].Am J Kidney Dis., 2020, 75(4 Suppl 2):S1-S164 [3]Jaffer O, Gibbs P, Gibson M, et al.A UK Expert Consensus Approach for Managing Symptomatic Arteriovenous Fistula (AVF) Stenosis in Haemodialysis Patients[J].Cardiovasc Intervent Radiol, 2021, 44(11):1736-46 [4]Schmidli J, Widmer MK, Basile C, , et al.Editor's Choice - Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)[J].Eur J Vasc Endovasc Surg, 2018, 55(6):757-818 [5]李春海, 孟红, 苏涛等.建立介入手术室和规范化工作流程专家共识[J].中国介入影像与治疗学, 2022, 19(06):321-4 [6]Voiculescu AS, Hentschel DM.Point-of-care Vascular Ultrasound: Of Fistulas and Flows[J].Adv Chronic Kidney Dis, 2021, 28(3):227-35 [7]张丽红, 王玉柱.超声引导在动静脉内瘘狭窄中的应用[J].中国血液净化, 2016, 15(6):321-3 [8]Ravani P, Quinn RR, Oliver MJJ, et al.Pre-emptive correction for haemodialysis arteriovenous access stenosis[J].Cochrane Database Syst Rev, 2016, 2016(1):C-d010709 [9]Chan KE, Pflederer TA, Steele DJ, et al.Access survival amongst hemodialysis patients referred for preventive angiography and percutaneous transluminal angioplasty[J].Clin J Am Soc Nephrol, 2011, 6(11):2669-80 [10]Tessitore N, Mansueto G, Bedogna V, et al.A prospective controlled trial on effect of percutaneous transluminal angioplasty on functioning arteriovenous fistulae survival[J].J Am Soc Nephrol, 2003, 14(6):1623-7 [11]Dember LM, Holmberg EF, Kaufman JS.Randomized controlled trial of prophylactic repair of hemodialysis arteriovenous graft stenosis[J].Kidney Int., 2004, 66(1):390-8 [12]Tessitore N, Bedogna V, Poli A, et al.Should current criteria for detecting and repairing arteriovenous fistula stenosis be reconsidered? Interim analysis of a randomized controlled trial[J].Nephrol Dial Transplant, 2014, 29(1):179-87 [13]王玉柱, 张丽红.血液透析动静脉内瘘并发症的物理检查 [J]. [J].临床肾脏病杂志, 2014, ( 8):452-454 [14]Salman L, Beathard G.Interventional nephrology: Physical examination as a tool for surveillance for the hemodialysis arteriovenous access[J].Clin J Am Soc Nephrol, 2013, 8(7):1220-7 [15]Coentr?o L, Faria B, Pestana M.Physical examination of dysfunctional arteriovenous fistulae by non-interventionalists: a skill worth teaching[J].Nephrol Dial Transplant, 2012, 27(5):1993-6 [16]Kukita K, Ohira S, Amano I, et al.2011 update Japanese Society for Dialysis Therapy Guidelines of Vascular Access Construction and Repair for Chronic Hemodialysis [J]. [J].Ther Apher Dial, , 2015,, 19 (Suppl 1):1-39 [17]詹申, 张丽红, 王玉柱.超声引导动静脉内瘘经皮血管成形术二——导丝概述及导丝通过病变技巧[J].临床肾脏病杂志, 2020, 20(07):527-31 [18]Trerotola SO, Kwak A, Clark TW, et al.Prospective study of balloon inflation pressures and other technical aspects of hemodialysis access angioplasty[J].J Vasc Interv Radiol, 2005, 16(12):1613-8 [19]Rasuli P, Chennur VS, Connolly MJ, et al.Randomized Trial Comparing the Primary Patency following Cutting Versus High-Pressure Balloon Angioplasty for Treatment of de Novo Venous Stenoses in Hemodialysis Arteriovenous Fistulae[J].J Vasc Interv Radiol, 2015, 26(12):1840-6 [20]詹申, 赵彬, 张丽红.切割球囊治疗血管通路相关性狭窄的疗效分析[J].中国血液净化, 2022, 21(08):603-7 [21]Zhao Y, Wang P, Wang Y, et al.Drug-Coated Balloon Angioplasty for Dysfunctional Arteriovenous Hemodialysis Fistulae: A Randomized Controlled Trial[J].Clin J Am Soc Nephrol., 2024, 19(3):336-44 [22]Lookstein RA, Haruguchi H, Ouriel K, et al.Drug-Coated Balloons for Dysfunctional Dialysis Arteriovenous Fistulas[J].N Engl J Med, 2020, 383(8):733-42 [23]Yin Y, Shi Y, Cui T, et al.Efficacy and Safety of Paclitaxel-Coated Balloon Angioplasty for Dysfunctional Arteriovenous Fistulas: A?Multicenter Randomized Controlled Trial[J].Am J Kidney Di, 2021, 78(1):19-27 [24]DEPIETRO D M, TREROTOLA S O.Choosing the right treatment for the right lesion,part I: a narrative review of the role of plain balloon angioplasty in dialysis access maintenance[J].Cardiovascular diagnosis and therapy, 2023, 13(1):212-32 [25]DePietro DM, Trerotola SO.Choosing the right treatment for the right lesion,Part II: a narrative review of drug-coated balloon angioplasty and its evolving role in dialysis access maintenance[J].Cardiovasc Diagn Ther, 2023, 13(1):233-59 [26]詹申, 张丽红, 王玉柱.超声引导动静脉内瘘经皮血管成形术三——麻醉技巧[J].临床肾脏病杂志, 2022, 22(01):1-4 [27]张丽红, 詹申, 肖光辉等.超声引导下自体动静脉内瘘狭窄腔内治疗入路建立策略的初步研究[J].临床肾脏病杂志, 2021, 21(11):881-6 [28]刘炳岩., 吴世新. 介入肾脏病学 [Z]. 北京; 科学出版社. 2016 [29]Kitrou P, Katsanos K, Georgopoulou GA, et al.Drug-Coated Balloons for the Dysfunctional Vascular Access: An Evidence-Based Road Map to Treatment and the Existing Obstacles[J].Semin Intervent Radiol, 2022, 39(1):56-65 [30]Bonaventura K, Schwefer M, Yusof AKM, et al.Systematic Scoring Balloon Lesion Preparation for Drug-Coated Balloon Angioplasty in Clinical Routine: Results of the PASSWORD Observational Study[J].Adv Ther, 2020, 37(5):2210-23 [31]Endovascular intervention for the treatment of stenosis in the arteriovenous access - UpToDate.https://www.uptodate.cn/contents/endovascular-intervention-for-the-treatment-of-stenosis-in-the-arteriovenous-access, accessed April 7, 2024 [32]Roy-Chaudhury P, Saad TF, Trerotola S.Drug-coated balloons and dialysis vascular access: is there light at the end of the tunnel[J].Kidney Int, 2021, 100(2):278-80 [33]Luo C, Liang M, Liu Y, et al.Paclitaxel coated balloon versus conventional balloon angioplasty in dysfunctional dialysis arteriovenous fistula: a systematic review and meta-analysis of randomized controlled trials[J].Ren Fail, 2022, 44(1):155-70 [34]Lilly RZ, Carlton D, Barker J, et al.Predictors of arteriovenous graft patency after radiologic intervention in hemodialysis patients[J].Am J Kidney Dis, 2001, 37(5):945-53 [35]Rajan DK, Sidhu A, Noel-Lamy M, et al.Elastic Recoil after Balloon Angioplasty in Hemodialysis Accesses: Does It Actually Occur and Is It Clinically Relevant?[J].Radiology, 2016, 279(3):961-7
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