Ahmed A. Noreldin*; MD, Rama A. Ali*; MD, Ahmed M. Kenawy*; MD, LobnaY.Ghanem**; MD, Abeya A. Lotfy** ;MD, Ahmed S. Ismail***; Msc.
Tamer A Wafa, PhD, MRCS, Abdelrahman Elshafey, PhD, Mostafa El-Ayoty, PhD, Mohamed Elzohiri, PhD
Tamer A Wafa, PhD, MRCS, Abdelrahman Elshafey, PhD, Sherif Abdelmaksoud, PhD, Hesham Sheir, PhD, MRCS, Mohamed El-Ghazaly, PhD
Shaban .M. Abdelmageed and Shawki Sharouda
1Adel A. Sied, 2Mohammed A. Rizk, 2Sherif M. Abdel Aziz
Reda Saad Mohamed Ezz, Mohamed Abd El Monem Rizk, Medhat Mohamed Helmy Khalil, Ahmed Heshmat Soliman Ahmed
Tamer M. Nabil1 M.D, Ahmed H. Khalil2 M.D, MRCS, Mohamed M. Elbarbary3 M.D
Mohamed Abd El-Monem Abd El-Salam Rizk, MD, Mohamed Ismail Mohamed Ismail, MD, Ramez Mounir Wahba , MD
Mohamed Abd El-Monem Abd El-Salam Rizk1, MD, Mohamed Ismail mohamed Ismail1, Ramez Mounir Wahba1,Waleed Anwar Abd El-Mohsen2
Ahmed Sobhy Abbass Ahmed Elsobky
1Yasser M. Salama M.Sc. MRCS, 2Mostafa S. Mahmoud MD
Tarek Ahmed Abd El- Azim, Mostafa Soliman Mahmoud, Mohamed Ismail Mohamed,Ahmad Refaat ELGendi*
Ahmed Serag Emara, Gad Mohamed Behairy, Amr H Afifi
A prospective Randomized Study Comparing the use of Plain PTA Balloon Catheters for Primary Balloon Angioplasty (PBA) Versus Hydrostatic Dilatation to prepare the Cephalic Vein Prior to Creation of Radio-cephalic Arteriovenous for Dialysis
Aim: To compare the immediate technical success, maturation time, and the need for further balloon
assisted maturation for radio-cephalic arteriovenous fistulas to render them ready for hemodialysis.
Patients & methods: Fifty-seven (57) patients with ESRD in need for vascular access for whom a radiocephalic arteriovenous fistula was of choice, with a cephalic vein ≤ 3 mm. They presented to us from the
period of November 2014 till January 2017, were randomized into two groups. The cephalic vein was
prepared in group. (A) using hydrostatic dilatation priorto creation of the fistula, while in group (B) the vein
was prepared using a PTA balloon catheter for primary balloon angioplasty prior to the creation of the
fistula. Results: The technical success rate was 96.5%, 100% in both groups respectively. The
reintervention rate was 35.7%, 7.1% in both groups respectively. The mean maturation time was 43days ,
32.1 days in both groups respectively. Conclusion: Using primary balloon dilatation during creation of a
radiocephalic arteriovenous fistula leads to a decreased maturation time and less reintervention rate, but
still these results are statistically insignificant may be due to small number of study sample.
Key words: Radiocephalic arteriovenous fistula, fistula maturation, primary balloon angioplasty (PBA).