{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:26Z","timestamp":1788815366300,"version":"build-2803163510"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Arteriovenous fistula stenosis is a major cause of access dysfunction in patients undergoing hemodialysis. Drug-coated balloons are a promising therapeutic option. This study evaluated the efficacy and safety of a high-pressure paclitaxel-coated balloon (APERTO OTW Cardionovum GmbH, Bonn, Germany) as a stand-alone treatment device without prior pre-dilatation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 168 angioplasties were performed using APERTO OTW in 150 patients. The mean follow-up was 15\u2009months (range: 1\u2013113). Most patients (89.3%) required only one intervention, with a mean of 1.13 interventions per patient (\u00b10.38). De novo lesions accounted for 85.8% of cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No device-related adverse events were observed. Vessel rupture was the most common complication (3.6%). The mean blood flow increased by 300.6\u2009mL\/min postoperatively. At follow-up, 37.5% of the fistulas remained functional, 26.8% required reintervention but remained patent, 28.6% progressed to non-salvageable thrombosis, and 7.1% underwent kidney transplantation with a functioning fistula. Overall patency rates at 6, 12, and 24\u2009months were 81.54%, 61.3%, and 46.81%, respectively. Patency did not differ significantly between the de novo and previously treated lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Angioplasty with the APERTO OTW drug-coated balloon, applied as a single high-pressure step without pre-dilatation, proved safe, effective, and complication-free. It significantly improved blood flow and maintained competitive long-term patency, confirming its reliability for hemodialysis vascular access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261452708","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:18:37Z","timestamp":1780057117000},"page":"2345-2350","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["High-pressure drug-coated balloon angioplasty (APERTO OTW\n                    <sup>\u00ae<\/sup>\n                    ) without pre-dilatation for hemodialysis fistula stenosis: Midterm outcomes in 150 patients"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1751-1283","authenticated-orcid":false,"given":"Jos\u00e9","family":"Garc\u00eda-Medina","sequence":"first","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Hospital General Universitario Rena Sof\u00eda, Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Jos\u00e9","family":"Garc\u00eda-Alfonso","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario Miguel Servet, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Bernal-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital Royo Vilanova, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-016-0680-z"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfy354"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.123.013302"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-23-01080"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.11.022"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819848609"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-021-05920-3"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/03000605221081662"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0231463"},{"issue":"11","key":"e_1_3_3_11_2","volume":"43","author":"AIUM Practice Parameter for the Performance of Vascular Ultrasound for Postoperative Assessment of Hemodialysis Access, 2024 Revision","year":"2024","unstructured":"AIUM Practice Parameter for the Performance of Vascular Ultrasound for Postoperative Assessment of Hemodialysis Access, 2024 Revision. 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