Journal title
عنوان نشریه
Iranian Journal of Vascular Surgery and Endovascular Therapy
Literature & Humanities
http://ijvset.gums.ac.ir
1
admin
doi
en
jalali
1399
12
1
gregorian
2021
3
1
1
1
online
1
fulltext
en
Comparison of clinical results between angioplasty balloon and venous angioplasty stent in dialysis dependent patients with upper extremity swelling due to venous hypertension following vascular access
عمومى
General
Original articles
Comparing the clinical outcomes between the endovascular balloon and stent methods in edema and upper extremity venous hypertension proceeding treatment via vascular access is an important subject to find a practical approach of modifying dialysis side effects, improve the quality of medical care, and increase the life span of patients. From 2016 to 2018, 41 dialysis patients with central vein stenosis in Golestan Hospital of Ahvaz were randomly allocated into two groups: balloon angioplasty (24 patients) and stent angioplasty (17 patients). Patients were closely monitored in the 1st, 3rd, and 6th months after angioplasty. Both groups underwent dialysis the following year. In this research, 35 patients had upper left limb involvement (85.4%). The most common location of venous stenosis was the left brachiocephalic vein (innominate vein). Inflammation was mainly in the forearm and arm regions. There was a significant relationship in the therapeutic effect for reducing inflammation in each group (p<0.05), but the most remedial effects occurred in the first month after treatment. The primary patency and inflammation reduction in the 3rd and 6th month had been more in stent angiography. The difference between these two methods did not prove significant over a year according to their dialysis procedure. The present study results showed that the utilization of stent angioplasty is preferred over balloon angioplasty in the long term in patients suffering from edema and hypertension.
Dialysis, Angioplasty, Stent, Vein Stenosis, Vascular catheters
24
30
http://ijvset.gums.ac.ir/browse.php?a_code=A-10-36-2&slc_lang=en&sid=1
Iraj
Nazari
irajnazari89@yahoo.com
http://orcid.org/0000-0002-2449-0134
Yes
Department of General Surgery, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Masood
Moosavi
No
Department of General Surgery, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Soheil
Noroozi
No
Department of General Surgery, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran