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Efficacy of Paclitaxel Balloon for Hemodialysis Stenosis Fistulae After One Year Compared to High-Pressure Balloons: A Controlled, Multicenter, Randomized Trial
dc.contributor.author | Moreno-Sánchez, T. | |
dc.contributor.author | Moreno-Ramírez, M. | |
dc.contributor.author | Machancoses, Francisco H. | |
dc.contributor.author | Pardo-Moreno, P. | |
dc.contributor.author | Navarro-Vergara, P. F. | |
dc.contributor.author | García-Revillo, J. | |
dc.date.accessioned | 2020-04-03T11:21:32Z | |
dc.date.available | 2020-04-03T11:21:32Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Moreno-Sánchez, T., Moreno-Ramírez, M., Machancoses, F.H. et al. Efficacy of Paclitaxel Balloon for Hemodialysis Stenosis Fistulae After One Year Compared to High-Pressure Balloons: A Controlled, Multicenter, Randomized Trial. Cardiovasc Intervent Radiol 43, 382–390 (2020). https://doi.org/10.1007/s00270-019-02372-w | ca_CA |
dc.identifier.issn | 0174-1551 | |
dc.identifier.issn | 1432-086X | |
dc.identifier.uri | http://hdl.handle.net/10234/187304 | |
dc.description.abstract | Purpose: A controlled, prospective, multicenter, randomized trial to compare primary patency after angioplasty with a drug-coated balloon versus plain angioplasty balloon in stenosis of dysfunctional fistulae and grafts for hemodialysis. Materials and Methods: A total of 136 patients (148 angioplasties) at four centers were randomized to receive a drug-coated balloon or plain angioplasty balloon after satisfactory angioplasty with a high-pressure balloon. The inclusion criteria were clinical signs of vascular dysfunction confirmed by Doppler Ultrasound and/or angiography. The primary endpoint was target lesion patency defined as time elapsed between the completion of effective and the appearance of restenosis at 6 and 12 months after angioplasty. Secondary endpoints included the relationship between the location of the stenosis, previous angioplasty, demographic variables and survival. Results: Primary patency after angioplasty was higher in the group treated with the drug-coated balloon than the plain angioplasty balloon (153.01 to 141.69 days at 6 months; 265.78 to 237.83 days at 12 months). Drug-coated balloon angioplasty resulted in superior patency after 6 and 12 months, but this result was not statically significant (P = 0.068 at 6 months; P = 0.369 at 12 months). There was no relation between target lesion patency and the other variables studied. Overall mortality in the plain angioplasty balloon group was higher (9% vs. 5.7%) but not statistically significant. Conclusions: Drug-coated balloon angioplasty resulted in superior survival of dysfunctional peripheral vascular access at 6 and 12 months, but this result was not statistically significant. Both arms show equivalent complications and similar mortality. | ca_CA |
dc.format.extent | 9 p. | ca_CA |
dc.language.iso | eng | ca_CA |
dc.publisher | Springer Verlag | ca_CA |
dc.relation.isPartOf | CardioVascular and Interventional Radiology, 2020, vol. 43, no 3 | ca_CA |
dc.rights | © Springer Nature | ca_CA |
dc.rights.uri | http://rightsstatements.org/vocab/InC/1.0/ | * |
dc.subject | paclitaxel | ca_CA |
dc.subject | drug-eluting balloon | ca_CA |
dc.subject | angioplasty | ca_CA |
dc.subject | high-pressure balloon | ca_CA |
dc.subject | hemodialysis | ca_CA |
dc.subject | arteriovenous fistula | ca_CA |
dc.subject | primary patency | ca_CA |
dc.title | Efficacy of Paclitaxel Balloon for Hemodialysis Stenosis Fistulae After One Year Compared to High-Pressure Balloons: A Controlled, Multicenter, Randomized Trial | ca_CA |
dc.type | info:eu-repo/semantics/article | ca_CA |
dc.identifier.doi | https://doi.org/10.1007/s00270-019-02372-w | |
dc.relation.projectID | Biotronik SE & Co. KG, Berlin, Germany: Grant Number “Ref.2015 CEM BIOTRONIK S.A./FABIS 01 | ca_CA |
dc.rights.accessRights | info:eu-repo/semantics/restrictedAccess | ca_CA |
dc.relation.publisherVersion | https://link.springer.com/article/10.1007/s00270-019-02372-w | ca_CA |
dc.type.version | info:eu-repo/semantics/publishedVersion | ca_CA |
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