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journal article Open Access Jul 07, 2023

Comparison of drug‐coated balloon angioplasty versus common balloon angioplasty for arteriovenous fistula stenosis: A systematic review and meta‐analysis

Yong Zhang ORCID Fan‐Li Yuan Xiang‐Yang Hu Qi‐Bing Wang Zhen‐Wu Zou Zhen‐Guo Li
Clinical Cardiology Vol. 46 No. 8 pp. 877-885 · Wiley
View at Publisher Save 10.1002/clc.24078
Abstract
AbstractDrug‐coated balloons (DCBs) have been used in dialysis patients with arteriovenous fistula (AVF) stenosis, but whether DCBs have advantages over ordinary balloons is still controversial. A meta‐analysis was designed to investigate the safety and efficacy of DCBs and common balloons (CBs) in the treatment of AVF stenosis. We searched the PubMed, EMBASE, and China National Knowledge Internet (CNKI) databases for randomized controlled trials that evaluated the comparison of DCB angioplasty versus CB angioplasty for AVF stenosis in dialysis patients and reported at least one outcome of interest. The results showed that the DCB group had a higher first‐stage patency rate of the target lesion 6 months [odds ratio, OR = 2.31, 95% confidence interval, CI: (1.69, 3.15), p < .01] and 12 months [OR = 2.09, 95% CI: (1.50, 2.91), p < .01] after surgery. There was no statistically significant difference in all‐cause mortality between the two groups at 6 months [OR = 0.85, 95% CI: (0.47, 1.52), p = .58] and 12 months [OR = 0.99, 95% CI: (0.60, 1.64), p = .97]. Compared with CB, DCBs as a new endovascular treatment for AVF stenosis have a higher primary patency rate of target lesions and can delay the occurrence of restenosis. There is no evidence that DCB can increase the mortality of patients.
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References
32
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Metrics
12
Citations
32
References
Details
Published
Jul 07, 2023
Vol/Issue
46(8)
Pages
877-885
License
View
Authors
Y
Yong Zhang

Department of Nephrology Jianli People's Hospital Jingzhou China

F
Fan‐Li Yuan

Department of Nephrology The First Affiliated Hospital of Yangtze University Jingzhou China

X
Xiang‐Yang Hu

Department of Emergency The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture Enshi China

Q
Qi‐Bing Wang

Department of Emergency The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture Enshi China

Z
Zhen‐Wu Zou

Department of General Practice The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture Enshi China

Z
Zhen‐Guo Li

Department of Pediatrics Jianli People's Hospital Jingzhou China

Cite This Article
Yong Zhang, Fan‐Li Yuan, Xiang‐Yang Hu, et al. (2023). Comparison of drug‐coated balloon angioplasty versus common balloon angioplasty for arteriovenous fistula stenosis: A systematic review and meta‐analysis. Clinical Cardiology, 46(8), 877-885. https://doi.org/10.1002/clc.24078
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