{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:33Z","timestamp":1786649613127,"version":"build-2736575974"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Achieving successful vascular access for hemodialysis is critical for patients with end-stage renal disease. The creation of an autologous arteriovenous fistula (AVF) is the preferred approach; however, patients with small-caliber radial arteries often face challenges, leading to high rates of AVF failure. Balloon dilation-assisted AVF (BDA-AVF) creation has emerged as a promising technique to address these limitations. This meta-analysis evaluates the effectiveness of BDA-AVF creation in improving primary patency rates at 6 and 12 months in patients with small-caliber radial arteries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A systematic review and meta-analysis were conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 25 studies involving 2450 patients were included. The primary outcomes were 6- and 12-month primary patency rates, assessed through a random-effects model. Secondary outcomes included procedural success, maturation rates, and complications. Data extraction and quality assessment were performed independently by two reviewers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>BDA-AVF creation demonstrated a pooled 6-month primary patency rate of 87.8% (95% confidence interval [CI]: 85.8%\u201389.8%) and a 12-month rate of 75.2% (95% CI: 73.2%\u201377.2%). Comparatively, traditional AVF techniques achieved significantly lower patency rates (6 months: 61%, 12 months: 50%). Procedural success was reported in 92% of cases, with a maturation rate of 88%. Complications were minor and included localized hematoma (5%) and mild arterial spasm (3%). BDA-AVF creation is a safe and effective intervention for patients with small-caliber radial arteries, offering superior patency rates compared to traditional methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These findings support the adoption of balloon dilation as a standard practice in selected cases, enhancing vascular access outcomes and improving the quality of care for hemodialysis patients. BDA-AVF creation shows promising short- and mid-term outcomes, particularly in patients with small-caliber radial arteries, but evidence for long-term durability is lacking. However, limited long-term follow-up across included studies restricts conclusions about AVF durability, and further high-quality trials are warranted. Future studies should focus on long-term outcomes and cost-effectiveness to further refine this technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jrms.jrms_144_25","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T13:00:53Z","timestamp":1767099653000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness and safety of balloon dilatation in radial artery with autogenous arteriovenous fistula anastomosis for hemodialysis patients: A meta-analysis"],"prefix":"10.4103","volume":"30","author":[{"given":"Ling","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Nephrology, Liaoning Electric Power Central Hospital, Shenyang City, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Liaoning Electric Power Central Hospital, Shenyang City, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingru","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Liaoning Electric Power Central Hospital, Shenyang City, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiannan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Liaoning Electric Power Central Hospital, Shenyang City, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoning","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Liaoning Electric Power Central Hospital, Shenyang City, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12]]},"reference":[{"key":"R1-20251230","first-page":"456","article-title":"Outcomes of 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