Evidence map›Paper›PMID 31084389›Full record

ArticleThe journal of vascular access2019

Factors associated with outcome after successful radiological intervention in arteriovenous fistulas: A retrospective cohort.

Sotiria Manou-Stathopoulou, Emily J Robinson, John Julian Harvey, Narayan Karunanithy, Francis Calder, Michael G Robson

Registry-linked trialAbstract read
In one paragraph

Article in The journal of vascular access, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07762807 (Colchicine And Dialysis Patients; a Feasibility Study), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07762807 narecruitingnot on this mapstarted 2025, after this paper: background citation

Colchicine And Dialysis Patients; a Feasibility Study

TypeinterventionalSponsorKing's College LondonRan2025 to 2027Enrolled100ConditionsHaemodialysis Patients, Colchicine, Feasibility StudyArmsColchicine 0.5 mg
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Dialysis Access Maintenance: Plain Balloon Angioplasty.Cardiovascular and interventional radiology · 2023
    Review
  7. Atorvastatin ReducesJournal of the American Society of Nephrology : JASN · 2020
    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

6 authors.

Sotiria Manou-StathopoulouRenal, Transplant and Urology Directorate, Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Emily J RobinsonDepartment of Biostatistics & Health Informatics, King's College London, London, UK.
John Julian HarveyDepartment of Interventional Radiology, Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Narayan KarunanithyDepartment of Interventional Radiology, Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Francis CalderRenal, Transplant and Urology Directorate, Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Michael G RobsonRenal, Transplant and Urology Directorate, Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Funding

Medical Research Council MR/J006742/1
6 · The paper itself

Abstract

introductionArteriovenous fistulas are the best form of vascular access for haemodialysis. A radiological balloon angioplasty is the standard treatment for a clinically relevant stenosis, but the recurrence rate is high. Data on factors associated with recurrence are limited.

methodsA single centre, retrospective analysis was performed for 124 consecutive patients who had successful interventions for dysfunctional arteriovenous fistulae, to examine factors associated with post-intervention patency. Follow-up was at least 1 year for all patients. Variables associated with primary and cumulative patency were pre-specified and assessed using both un-adjusted (univariate) and adjusted Cox proportional hazards models. Analysis was repeated for a subgroup of 80 patients with a single lesion only in order to examine the potential effects of stenotic lesion characteristics on patency.

resultsFactors found to have a significant association with poorer outcomes (less time to loss of patency) included thrombosis at the time of intervention and a history of previous intervention. Fistula age (log days) was significantly associated with better outcomes (greater time to loss of patency). Non-white ethnicity, lesion length, and patient age were also significantly associated with accelerated loss of patency. DISCUSSION: The factors we have identified as linked to poor outcome may help to identify patients in whom a balloon angioplasty is unlikely to provide a durable outcome. This may prompt exploring alternative treatment or dialysis options at an early stage.

Indexed as

Angioplasty, BalloonRenal DialysisAdultAgedAged, 80 and overArteriovenous Shunt, SurgicalFemaleGraft Occlusion, VascularHumansMaleMiddle AgedRadiography, InterventionalRecurrenceRetrospective StudiesRisk FactorsTime FactorsAccessangioplastyballoondialysisfistulavascular

Identifiers

PMID31084389
PMCPMC6856953

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Registered trials

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.