J Korean Soc Radiol.  2016 Feb;74(2):105-113. 10.3348/jksr.2016.74.2.105.

Effect of Percutaneous Transluminal Angioplasty on the Stenosis of Autogenous Radiocephalic Arteriovenous Fistula for Hemodialysis

  • 1Department of Radiology, Gachon University Gil Medical Center, Incheon, Korea. ho7ok7@gilhospital.com
  • 2Department of Vascular Surgery, Gachon University Gil Medical Center, Incheon, Korea.
  • 3Department of Radiology, Seonam University College of Medicine, Myongji Hospital, Goyang, Korea.


The purpose of this study was to evaluate the effectiveness of percutaneous transluminal angioplasty (PTA) on stenosis of autogenous radiocephalic arteriovenous fistula (RCF) for hemodialysis and to determine the factors influencing patency.
This retrospective study included 136 patients referred for PTA of RCF stenosis between March 2005 and July 2014. The technical success rate, complications, and patency rate were evaluated. The following factors were analyzed as they might influence patency: age, gender, site and duration of arteriovenous fistula, underlying disease, body mass index, hypercholesterolemia, smoking, peripheral artery or coronary artery occlusive disease, stenosis length/grade, cutting balloon, and balloon size.
The initial technical success rate was 91.9% (125/136). Complications included vessel rupture (n = 2) and vessel dissection (n = 2). The patency rates at 6, 12, 24, and 48 months after PTA were 81.9, 67.1, 52.7, and 42.3%, respectively. The patency rate was higher in cases with longer (> 3 cm) stenosis (p = 0.04). Use of cutting balloon and larger size of balloon catheter made the patency longer, but this difference was not statistically significant (p = 0.637, 0.258).
PTA is a safe and effective way to manage stenosis in RCF. The length of stenosis was the only factor which affected the patency rate in this study.

MeSH Terms

Arteriovenous Fistula*
Body Mass Index
Constriction, Pathologic*
Coronary Vessels
Renal Dialysis*
Retrospective Studies
Vascular Patency


  • Fig. 1 Angiographic evaluation of perianastomotic stenosis. A. Anastomotic stenosis. B. Juxtaanastomotic stenosis. C. Arterial stenosis. Arrow = stenosis site, A = artery, V = vein

  • Fig. 2 Percutaneous transluminal angioplasty findings of stenosis of the venous limb in RCF before (A), during (B), and after (C) ballooning. Arrow = stenosis site, A = artery, RCF = radiocephalic arteriovenous fistula, V = vein

  • Fig. 3 Primary and secondary patency rates of PTA in patients with dysfunctional RCF. Missing data: patient death or incomplete follow-up data. PTA = percutaneous transluminal angioplasty, RCF = radiocephalic arteriovenous fistula

  • Fig. 4 Patency rate of PTA in juxtaanastomotic stenosis of RCF according to balloon size. Missing data: patient death or incomplete follow-up data. PTA = percutaneous transluminal angioplasty, RCF = radiocephalic arteriovenous fistula

  • Fig. 5 Patency rate of PTA in the juxtaanastomotic stenosis of RCF with or without a cutting balloon. Missing data: patient death or incomplete follow-up data. PTA = percutaneous transluminal angioplasty, RCF = radiocephalic arteriovenous fistula

Cited by  1 articles

Effectiveness and Influencing Factors of Percutaneous Transluminal Angioplasty for Stenosis of Transposed Brachiobasilic Arteriovenous Fistula
Dahye Shin, Yong Jae Kim, Seung Boo Yang, Jae Myeong Lee, Woong Hee Lee, Dong Erk Goo
J Korean Soc Radiol. 2019;80(3):477-489.    doi: 10.3348/jksr.2019.80.3.477.


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