Evidence map›Paper›PMID 27175481›Full record

Trial reportTrials2016

Paclitaxel-coated balloon fistuloplasty versus plain balloon fistuloplasty only to preserve the patency of arteriovenous fistulae used for haemodialysis (PAVE): study protocol for a randomised controlled trial.

Narayan Karunanithy, Irene Rebollo Mesa, Anthony Dorling, Francis Calder, Konstantinos Katsanos, Vikki Semik, Emily Robinson, Janet Peacock, Neelanjan Das, Colin Forman and 4 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Arteriovenous Access Failure, Stenosis, and Thrombosis.Canadian journal of kidney health and disease · 2016
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 1 country.

Narayan KarunanithyDepartment of Interventional Radiology, Guy's and St Thomas' NHS Trust, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.
Irene Rebollo MesaBiostatistics Department, King's College London, London, SE5 8AF, UK.
Anthony DorlingMRC Centre for Transplantation, King's College London, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.
Francis CalderRenal, Urology and Transplantation Directorate, Guy's and St Thomas' NHS Trust, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.
Konstantinos KatsanosDepartment of Interventional Radiology, Guy's and St Thomas' NHS Trust, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.
Vikki SemikMRC Centre for Transplantation, King's College London, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.
Emily RobinsonBiostatistics Department, King's College London, London, SE5 8AF, UK.
Janet PeacockDivision of Health and Social Care Research, King's College London, Capital House, 42 Weston Street, London, SE1 3QD, UK.
Neelanjan DasDepartment of Interventional Radiology, East Kent Hospitals NHS Trust, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, Kent, CT1 3NG, UK.
Colin FormanRenal Services, Royal Free London NHS Trust, Pond Street, London, NW3 2QG, UK.
Sarah LawmanSussex Kidney Unit, Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK.
Kate SteinerDepartment of Interventional Radiology, East and North Hertfordshire NHS Trust, Lister Hospital, Coreys Mill Lane, Stevenage, Herts, SG1 4AB, UK.
C Jason WilkinsDepartment of Interventional Radiology, Kings' College Hospital NHS Trust, Denmark Hill, London, SE5 9RS, UK.
Michael G RobsonMRC Centre for Transplantation, King's College London, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK. michael.robson@kcl.ac.uk.
Guy's Hospital · GBKing's College London · GBKent and Canterbury Hospital · GBKing's College Hospital · GBLister Hospital · GBRoyal Free London NHS Foundation Trust · GBRoyal Sussex County Hospital · GB

Funding

Department of Health 11/100/34Medical Research Council MC_PC_15109Medical Research Council MR/J006742/1
6 · The paper itself

Abstract

backgroundThe initial therapy for a stenosis in an arteriovenous fistula used for haemodialysis is radiological balloon dilatation or angioplasty. The benefit of angioplasty is often short-lived, intervention-free survival is reported to be 40-50 % at 1 year. Previous small studies and observational data suggest that paclitaxel-coated balloons may be of benefit in improving outcomes after fistuloplasty of stenotic arteriovenous fistulae. METHODS/

designWe have designed a multicentre, double-blind randomised controlled trial to test the superiority of paclitaxel-coated balloons for preventing restenosis after fistuloplasty in patients with a native arteriovenous fistula. Two hundred and eleven patients will be followed up for a minimum of 1 year. Inclusion criteria include a clinical indication for a fistuloplasty, an access circuit that is free of synthetic graft material or stents, and a residual stenosis of 30 % or less after plain balloon fistuloplasty. Exclusion criteria include a synchronous venous lesion in the same access circuit, location of the stenosis central to the thoracic inlet or a thrombosed access circuit at the time of treatment. The primary endpoint is time to end of target lesion primary patency. This is defined as a clinically-driven radiological or surgical re-intervention at the treatment segment, thrombosis that includes the treatment segment, or abandonment of the access circuit due to an inability to re-treat the treatment segment. Secondary endpoints include angiographic late lumen loss, time to end of access circuit cumulative patency, the total number of interventions, and quality of life. The trial is funded by the National Institute for Health Research. DISCUSSION: We anticipate that this trial will provide rigorous data that will determine the efficacy of additional paclitaxel-coated balloon fistuloplasty versus plain balloon fistuloplasty only to preserve the patency of arteriovenous fistulae used for haemodialysis.

trial registrationISRCTN14284759 . Registered on 28 October 2015.

Indexed as

Coated Materials, BiocompatibleRenal DialysisVascular Access DevicesVascular PatencyAngioplasty, BalloonArteriovenous Shunt, SurgicalCardiovascular AgentsClinical ProtocolsDouble-Blind MethodGraft Occlusion, VascularHumansPaclitaxelResearch DesignTime FactorsTreatment OutcomeUnited KingdomCardiovascular AgentsCoated Materials, BiocompatiblePaclitaxelAngioplastyArteriovenous fistulaBalloonClinical trialEfficacyEME-fundedFistuloplastyHaemodialysisKidneyNeointimal hyperplasiaNIHRPaclitaxelRandomised controlledRenalStenosis

Identifiers

PMID27175481
PMCPMC4866413
OpenAlexW2354671598

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.