Objective and subjective assessment of physician labor and resource utilization in maintenance percutaneous transluminal angioplasty of nonthrombosed hemodialysis arteriovenous fistulas versus arteriovenous grafts Journal Vasc Interv Radiology. 2013 May; 24(5):722-5
No significant difference in resource utilization between maintenance PTA of nonthromobosed AVFs versus AVGs
Maintenance PTA of AVFs was scored as more cognitively, physically, and psychologically demanding than maintenance PTA of AVGs
Questions for the readers:
Practices can vary widely, a large series of over 150 PTAs of AVF and 3500 PTAs of AVG [KI (2400) 66, 1622-1632] showed a difference of time to complete angioplasty of 38.8 ± 23.9 versus 24.4 ± 15.5 minutes. Mean fluroscopy time was also higher for AVF PTA’s (mean fluoroscopy time was 6 ± 4.8 versus 4 ± 3 minutes). What differences are seen in your practice if any?