Collateral Ligation in Failing Fistulas
NCT03365089 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2026-05-13
Summary
Arteriovenous fistulas (AVFs) for hemodialysis often fail to become usable due to failure to mature (FTM). The most common cause is narrowing of the artery or vein (stenosis). Another potential cause is the presence of collateral or side branch veins that steal blood flow from the main fistula channel. Some believe that occluding these veins might help maturation of those failing AVFs. To evaluate if this actually works, patients with FTM will be randomly assigned to side branch vein ligation (or not), and rates of AVF maturation of the two groups will be compared.
Conditions
- Hemodialysis Access Failure
Interventions
- PROCEDURE
-
Collateral vein ligation
Collateral venous flow will be interrupted by ultrasound-guided ligation of venous side branches.
Sponsors & Collaborators
-
Massachusetts General Hospital
lead OTHER
Principal Investigators
-
Zubin Irani, MD · Massachusetts General Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-05-14
- Primary Completion
- 2019-12-31
- Completion
- 2020-03-31
Countries
- United States
Study Locations
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