Evidence map›Paper›PMID 39256543›Full record

ArticleScientific reports2024

Patency and factors related to patency after percutaneous transluminal angioplasty for inflow arterial stenosis in native arteriovenous fistula dysfunction: a single-center retrospective study.

Bo Chen, Bo Tu, Qiquan Lai, Ling Chen, Xuejing Gao, Yu Zhou, Xi Zhang, Qiong Lv, Ziming Wan

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

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

  1. Pooled it
  2. Article
  3. 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

9 authors.

Bo ChenDepartment of Ultrasonography, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Bo TuDepartment of Ultrasonography, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Qiquan LaiDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Ling ChenDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Xuejing GaoDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Yu ZhouDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Xi ZhangDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Qiong LvDepartment of General Practice, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China.
Ziming WanDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Youyi Rd 1, Chongqing, 400042, China. wanziming-001@163.com.

Funding

Science-Health Joint Medical Research Project of Chongqing 2020FYYX064
6 · The paper itself

Abstract

Controversy still exists regarding how much the inflow arterial percutaneous transluminal angioplasty (PTA) contributed to maintaining fistula function for hemodialysis. We aimed to analyze patency and risk factors after inflow arterial PTA. Hemodialysis patients with inflow arterial primary stenosis who were admitted to our institution from January 2017 to December 2022 were examined. One group had arterial-venous fistula with inflow artery stenosis alone (AVF + iAS) and another group had AVF with inflow artery stenosis and any vein stenosis (AVF + iAS + VS). The characteristics of patients, stenotic lesions, and PTA procedures were recorded. Kaplan-Meier analysis was used to compare primary patency, assisted primary patency, and secondary patency in the two groups. Cox proportional hazard analysis was used to identify risk factors associated with patency. We examined 213 patients, 53 in the AVF + iAS group (51 radial arterial stenosis and 2 ulnar arterial stenosis) and 160 in the AVF + iAS + VS group (159 radial arterial stenosis and 1 ulnar arterial stenosis). Kaplan-Meier analysis indicated the AVF + iAS group had better primary patency and assisted primary patency (both P < 0.05), but the groups had similar secondary patency. Cox proportional hazard analysis indicated that none of the analyzed clinical and biochemical indexes had clinically meaningful effects on primary patency, assisted primary patency, or secondary patency in either group. The patency and safety after PTA for inflow arterial stenosis were satisfactory, and none of the examined risk factors had a major clinical impact on patency. We recommend PTA as treatment for inflow stenosis of an AVF.

Indexed as

AngioplastyRenal DialysisVascular PatencyAgedArterial Occlusive DiseasesArteriovenous Shunt, SurgicalConstriction, PathologicFemaleHumansKaplan-Meier EstimateMaleMiddle AgedProportional Hazards ModelsRadial ArteryRetrospective StudiesRisk FactorsArteriovenous fistulaHemodialysisInflow arterial stenosisPercutaneous transluminal angioplastyStenosis

Identifiers

PMID39256543
PMCPMC11387773

What OpenQuestion holds

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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.