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Brief CommunicationBrief Communication
Open Access

Drug-coated balloons versus conventional percutaneous transluminal angioplasty for treatment-naïve dysfunctional arteriovenous fistulas.

A 10-year single center retrospective study

Abdulaziz AlQubaisi, Mohammad Arabi, Yousof AlZahrani and Omar Bashir
Saudi Medical Journal July 2024, 45 (7) 741-744; DOI: https://doi.org/10.15537/smj.2024.45.7.20230852
Abdulaziz AlQubaisi
From the Medical Imaging Department (AlQubaisi, Arabi, AlZahrani, Bashir), King Abdulaziz Medical City; from Medical Imaging Department, King Abdullah Specialized Children’s Hospital (KASCH), Ministry of National Guard -Health Affairs; from the Medical Imaging Department, King Abdullah International Medical Research Center; and the Medical Imaging Department, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
MBBS
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Mohammad Arabi
From the Medical Imaging Department (AlQubaisi, Arabi, AlZahrani, Bashir), King Abdulaziz Medical City; from Medical Imaging Department, King Abdullah Specialized Children’s Hospital (KASCH), Ministry of National Guard -Health Affairs; from the Medical Imaging Department, King Abdullah International Medical Research Center; and the Medical Imaging Department, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
MD, FRCR
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  • For correspondence: [email protected]
Yousof AlZahrani
From the Medical Imaging Department (AlQubaisi, Arabi, AlZahrani, Bashir), King Abdulaziz Medical City; from Medical Imaging Department, King Abdullah Specialized Children’s Hospital (KASCH), Ministry of National Guard -Health Affairs; from the Medical Imaging Department, King Abdullah International Medical Research Center; and the Medical Imaging Department, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
MBBS, FRCR
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Omar Bashir
From the Medical Imaging Department (AlQubaisi, Arabi, AlZahrani, Bashir), King Abdulaziz Medical City; from Medical Imaging Department, King Abdullah Specialized Children’s Hospital (KASCH), Ministry of National Guard -Health Affairs; from the Medical Imaging Department, King Abdullah International Medical Research Center; and the Medical Imaging Department, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
FRCR, EBIR
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Article Figures & Data

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  • Figure 1
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    Figure 1

    - Study population selection flow diagram. AVF: arteriovenous fistula, DCB: drug-coated balloons, PTA: plain balloon angioplasty

Tables

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    Table 1

    - Drug-coated balloons versus conventional percutaneous transluminal angioplasty time to re-intervention.

    Type of balloonTime to re-intervention (Days)P-value*
    MeanSDMedianQ1Q3
    PTA4084652161114640.079

    SD: standard deviation, PTA: plain balloon angioplasty, Q: quartile

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      Table 2

      - Predictors for time to re-intervention within 6 months or more for the entire cohort.

      VariablesTime to re-interventionP-value
      Within 6 monthsMore than 6 months
      n%n%
      Age (years)     
      ≤601841.9%2558.1%0.278
      61 - 70825.0%2475.0%
      ≥713239.0%5061.0%
      Gender     
      Male3434.7%6465.3%0.452
      Female2440.7%3559.3%
      Type of fistula     
      Radiocephalic433.3%866.7%0.955
      Brachiocephalic4437.0%7563.0%
      Brachiobasilic1038.5%1661.5%
      Number of stenoses     
      14037.0%6863.0%0.889
      21638.1%2661.9%
      3228.6%571.4%
      Type of balloon     
      PTA5139.6%7860.4%0.141
      DCB725.0%2175.0%
      Severity     
      Mild731.8%1568.2%0.455
      Moderate2132.8%4367.2%
      Severe3042.3%4157.7%

      PTA: plain balloon angioplasty, DCB: drug-coated balloons

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      Saudi Medical Journal: 45 (7)
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      Vol. 45, Issue 7
      1 Jul 2024
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      Drug-coated balloons versus conventional percutaneous transluminal angioplasty for treatment-naïve dysfunctional arteriovenous fistulas.
      Abdulaziz AlQubaisi, Mohammad Arabi, Yousof AlZahrani, Omar Bashir
      Saudi Medical Journal Jul 2024, 45 (7) 741-744; DOI: 10.15537/smj.2024.45.7.20230852

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      Drug-coated balloons versus conventional percutaneous transluminal angioplasty for treatment-naïve dysfunctional arteriovenous fistulas.
      Abdulaziz AlQubaisi, Mohammad Arabi, Yousof AlZahrani, Omar Bashir
      Saudi Medical Journal Jul 2024, 45 (7) 741-744; DOI: 10.15537/smj.2024.45.7.20230852
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      Keywords

      • angioplasty
      • dialysis access
      • dialysis
      • hemodialysis
      • drug coated balloon
      • arteriovenous fistula
      • drug-eluting balloon
      • paclitaxel
      • primary patency
      • treatment-naïve fistula

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