{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:31:15Z","timestamp":1793863875603,"version":"4.6.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002560","name":"Soonchunhyang University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002560","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aims to assess the efficacy and safety of a staged endovascular management for non-maturing arteriovenous fistulas (AVFs) and identify prognostic factors associated with patency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between September 2016 and June 2025, 67 patients (age: 62.8\u2009\u00b1\u200910.8\u2009years; male: 67.2%) underwent staged endovascular management according to a standardized institutional protocol. This strategy prioritizes correction of underlying stenotic lesions, even when the severity of stenosis is mild. Embolization of collateral veins was performed in cases of persistent maturation failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Technical and clinical success rates were 97.4% (76\/78) and 83.6% (56\/67), respectively, with a complication rate of 5.1% (4\/78). Initial PTA achieved clinical success in 54 of 67 patients (80.6%). Among 11 patients with persistent maturation failure, four underwent collateral embolization, resulting in clinical success in 2. Postintervention primary and assisted primary patency rates at 3, 6, and 12\u2009months were 85.7%, 81.7%, and 73.1%, and 98.2%, 96.3%, and 94.2%, respectively. Diabetes mellitus (HR, 5.43; 95% CI, 1.23\u201323.96;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.026) and thrombotic occlusion (HR, 7.05; 95% CI, 2.62\u201318.93;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were significant predictors of reduced primary patency. The reintervention rate was 0.45 events\/access-year. Outcomes did not differ significantly according to lesion characteristics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A staged endovascular approach offers a safe and effective strategy for managing non-maturing AVFs, enabling tailored clinical decision-making with favorable patency outcomes. The identification of diabetes mellitus and thrombotic occlusion as predictors of primary patency enables more precise risk stratification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261459887","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:53:09Z","timestamp":1782283989000},"page":"2553-2561","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Staged endovascular management for non-maturing arteriovenous fistulas: A single-center retrospective cohort study"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7245-0403","authenticated-orcid":false,"given":"Yun Gyeong","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2135-9384","authenticated-orcid":false,"given":"Hyoung Nam","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2881-9221","authenticated-orcid":false,"given":"Youngjong","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1187-7671","authenticated-orcid":false,"given":"Sung-Joon","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Radiology, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6492-514X","authenticated-orcid":false,"given":"Sangjoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Vascular Center, Seoul Samsung Clinic, Cheonan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8406-6645","authenticated-orcid":false,"given":"In Chul","family":"Nam","sequence":"additional","affiliation":[{"name":"Department of Radiology, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819895185"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00360705"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2015.08.001"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-003-0211-x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.08.015"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-014-0856-7"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12239"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818810115"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2016.07.015"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm021"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820965064"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000818"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2251011367"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000094618.61428.58"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2017.06.019"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-22372-0"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.122025"},{"key":"e_1_3_2_20_2","article-title":"Endovascular management in immature arteriovenous fistula for hemodialysis","volume":"97","author":"Lee SJ","year":"2018","unstructured":"Lee SJ, Jeon GS, Lee B, et al. Endovascular management in immature arteriovenous fistula for hemodialysis. Medicine 2018; 97: e12211.","journal-title":"Medicine"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.12.001"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2004.08.014"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.11.059"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-025-02346-x"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.47102\/annals-acadmedsg.V46N2p64"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.08.072"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241260755"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.07.056"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2011.00846.x"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtha.2024.07.028"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.02.010"},{"key":"e_1_3_2_32_2","article-title":"Factors affecting suboptimal maturation of autogenous arteriovenous fistula in elderly patients with diabetes: a narrative review","volume":"10","author":"Liu S","year":"2024","unstructured":"Liu S, Wang Y, He X, et al. Factors affecting suboptimal maturation of autogenous arteriovenous fistula in elderly patients with diabetes: a narrative review. Heliyon 2024; 10: e35766.","journal-title":"Heliyon"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2018.1456464"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261459887","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298261459887","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261459887","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:10:40Z","timestamp":1793862640000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298261459887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,23]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/11297298261459887"],"URL":"https:\/\/doi.org\/10.1177\/11297298261459887","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,23]]}}}