Status:

UNKNOWN

Collateral Ligation in Failing Fistulas

Lead Sponsor:

Massachusetts General Hospital

Conditions:

Hemodialysis Access Failure

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Arteriovenous fistulas (AVFs) for hemodialysis often fail to become usable due to failure to mature (FTM). The most common cause is narrowing of the artery or vein (stenosis). Another potential cause ...

Detailed Description

Arteriovenous fistulas (AVFs) for hemodialysis often fail to become usable due to failure to mature (FTM). The most common cause is stenosis of the artery or vein. Another potential cause is the prese...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • \- Patients with upper extremity autogenous AVF presenting with FTM with evidence of collaterals on ultrasound and/or clinical exam.
  • Exclusion criteria:
  • Age under 18 years
  • Pregnant women
  • Prior endovascular or surgical procedure in the fistula after its creation (with the exception of surgical superficialization or mobilization)
  • Clinical evidence of infection associated with the AVF
  • Uncorrectable coagulopathy (International Normalized Radio \>2.5, platelet count \<50.000/μL)
  • Absence of significant venous side branches on angiogram (defined as those that arise in the initial 10 cm, including the future cannulation zone, and have maximal diameter greater than or equal to one third of the widest diameter of the fistula's main venous channel in this segment).

Exclusion

    Key Trial Info

    Start Date :

    May 14 2018

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    March 31 2020

    Estimated Enrollment :

    35 Patients enrolled

    Trial Details

    Trial ID

    NCT03365089

    Start Date

    May 14 2018

    End Date

    March 31 2020

    Last Update

    December 13 2018

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Massachusetts General Hospital

    Boston, Massachusetts, United States, 02114