Korean J Thorac Cardiovasc Surg.  2015 Apr;48(2):120-125. 10.5090/kjtcs.2015.48.2.120.

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

• Jin M
• Yoon YC
• Wi JH
• Lee YH
• Han IY
• Park KT

• KMID: 2382241
• DOI: http://doi.org/10.5090/kjtcs.2015.48.2.120

Abstract

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 the patency of arteriovenous fistulas (AVFs) created for hemodialysis access.
METHODS
A total of 156 patients who underwent creation of an AVF were divided into two groups, based whether a Fogarty catheter was used during AVF creation. Group A (89 patients) comprised the patients who underwent balloon angioplasty with a Fogarty catheter during the operation. Group B (67 patients) included the patients in whom a Fogarty catheter was not used during the operation. Patient records were reviewed retrospectively and documented. The patency rate was determined by the Kaplan-Meier method.
RESULTS
The records of 156 patients who underwent the creation of an AVF from January 2007 to October 2011 were included. The mean follow-up duration was 40.2+/-19.4 months (range, 1 to 97 months). The patency rates in group A at 12, 36, and 72 months were 83.9%+/-3.9%, 78.3%+/-4.6%, and 76.3%+/-4.9%, respectively, while the corresponding patency rates in group B were 92.5%+/-3.2%, 82.8%+/-0.5%, and 79.9%+/-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 the cephalic vein using the Fogarty catheter is a simple and easily reproducible procedure, and it can be helpful in increasing AVF patency in cases of insufficient runoff or a suboptimal cephalic vein.

Keyword

Arteriovenous fistula; Balloon angioplasty; Renal dialysis; Vascular patency; Geriatric

MeSH Terms

Angioplasty, Balloon*
Arteriovenous Fistula*
Catheters*
Embolectomy*
Follow-Up Studies
Humans
Renal Dialysis*
Retrospective Studies
Vascular Patency
Veins