{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:44:42Z","timestamp":1785768282036,"version":"3.56.0"},"reference-count":17,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Arteriovenous fistula is the definitive vascular access for patients on long\u2010term haemodialysis. The aim of this study is to present the techniques and results of the Endovascular Treatment System that we have developed for managing the occluded native arteriovenous fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The current study is a retrospective chart review on all patients who presented with an occluded native arteriovenous fistula and underwent attempted recanalization between 1 January 2005 and 31 December 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 130 patients were included in the study. Post\u2010intervention primary access patency was 83.8% at 6 months, 78.7% at 12\u2009months, 64.6% at 2\u2009years and 59.6% at 3\u2009years. Post\u2010intervention assisted access patency in fistulas\u2010in\u2010use was 86.5% at 6 months, 81% at 12\u2009months, 66.8% at 2\u2009years and 61.2% at 3\u2009years. Post\u2010intervention secondary patency for all cases was 84.7% at 6 months, 80.2% at 12\u2009months, 66.1% at 2\u2009years and 62% at 3\u2009years. Post\u2010intervention secondary patency in fistula\u2010in\u2010use was 91.1% at 6 months, 90% at 12\u2009months, 85% at 2\u2009years and 74.6% at 3\u2009years. Access survival nor patency differed significantly when incisional thrombectomy was compared to angioplasty with or without stenting with access survival of 91.2% and 92.5% at 12\u2009months and access patency of 82.9% and 89.7% at 12\u2009months (<jats:italic>P<\/jats:italic> = 0.834 and <jats:italic>P<\/jats:italic> = 0.898, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In autologous arteriovenous thrombosed fistulae, the use of endovascular techniques to revive the access is a viable and safe technique to employ in most cases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16121","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T05:59:12Z","timestamp":1595311152000},"page":"1369-1375","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Results of the endovascular treatment system for occluded native arteriovenous fistula"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7554-7137","authenticated-orcid":false,"given":"Christopher Cheang Han","family":"Leo","sequence":"first","affiliation":[{"name":"University Medicine Cluster, Division of Nephrology National University Hospital  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Cassorla","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery The German Clinic of Santiago and Sotero del Rio Hospital  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Swinnen","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery The University of Sydney, Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"37th Report, Chapter 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