Evidence map›Paper›PMID 34320498›Full record

ArticleBlood purification2022

Morphological Lesion Types Are Associated with Primary and Secondary Patency Rates after High-Pressure Balloon Angioplasty for Dysfunctional Arteriovenous Fistulas.

Li Chen, Weichen Zhang, Jinyun Tan, Min Hu, Weihao Shi, Minmin Zhang, Yong Wang, Bo Yu, Jing Chen

Open access · hybridAbstract read
In one paragraph

Article in Blood purification, 2022. 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
1.7field-weighted citation impact, top 16% 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, 9 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Li ChenDepartment of Ultrasound, Huashan Hospital, Fudan University, Shanghai, China.
Weichen ZhangDepartment of Nephrology, Huashan Hospital, Fudan University, Shanghai, China, zhangweichen1992@126.com.
Jinyun TanDepartment of Vascular Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Min HuDepartment of Vascular Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Weihao ShiDepartment of Vascular Surgery, Pudong Hospital, Fudan University, Shanghai, China.
Minmin ZhangDepartment of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Yong WangDepartment of Ultrasound, Huashan Hospital, Fudan University, Shanghai, China.
Bo YuDepartment of Vascular Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Jing ChenDepartment of Nephrology, Huashan Hospital, Fudan University, Shanghai, China.
Fudan University · CNHuashan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeointimal hyperplasia (NIH) is believed to be the main reason for arteriovenous fistula (AVF) dysfunction, but other mechanisms are also recognized to be involved in the pathophysiological process. This study investigated whether different morphological types of AVF lesions are associated with the patency rate after percutaneous transluminal angioplasty (PTA).

methodsThis retrospective study included 120 patients who underwent PTA for autogenous AVF dysfunction. All the cases were evaluated under Doppler ultrasound (DU) before intervention and divided into 3 types: Type I (NIH type), Type II (non-NIH type), and Type III (mixed type). Prognostic and clinical data were analyzed by Kaplan-Meier analysis and the Cox proportional hazards model.

resultsThere was no statistical difference in baseline variables among groups, except for lumen diameter. The primary patency rates in Type I, Type II, and Type III groups were 78.4, 93.2, and 83.2% at 6 months and 59.5, 84.7, and 75.5% at 1 year, respectively. The secondary patency rates in Type I, Type II, and Type III groups were 94.4, 97.1, and 100% at 6 months and 90.5, 97.1, and 94.7% at 1 year, respectively. The Kaplan-Meier curve showed that the primary and secondary patency rates of Type I group were lower than those of Type II group. Multivariable Cox regression analysis demonstrated that postoperative primary patency was correlated with end-to-end anastomosis (hazard ratio [HR] = 2.997, p = 0.008, 95% confidence interval [CI]: 1.328-6.764) and Type I lesion (HR = 5.395, p = 0.004, 95% CI: 1.730-16.824).

conclusionsNIH-dominant lesions of AVF evaluated by DU preoperatively were a risk factor for poor primary and secondary patency rate after PTA in hemodialysis patients.

Indexed as

Angioplasty, BalloonArteriovenous FistulaArteriovenous Shunt, SurgicalGraft Occlusion, VascularHumansKaplan-Meier EstimateRenal DialysisRetrospective StudiesRisk FactorsTreatment OutcomeVascular PatencyArteriovenous fistula dysfunctionHemodialysisMorphological typeNeointimal hyperplasiaPatency rate

Identifiers

PMID34320498
PMCPMC9153343
OpenAlexW3185622447

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Registered trials

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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.