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    Mohamed Abd El-Monem Abd El-Salam Rizk1, MD, Mohamed Ismail mohamed Ismail1, Ramez Mounir Wahba1,Waleed Anwar Abd El-Mohsen2
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  • 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

    Mohamed Abd El-Monem Abd El-Salam Rizk1, MD, Mohamed Ismail mohamed Ismail1, Ramez Mounir Wahba1,Waleed Anwar Abd El-Mohsen2
    1Vascular Surgery Department, Ain Shams University; 2Nephrology Department, Ain Shams University

    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).