This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Short term success of treatments to salvage thrombosed or failing synthetic arteriovenous grafts in end stage renal disease: a systematic review and network meta-analysis of randomised controlled trials. Eur J Vasc Endovasc Surg 2019; 58: 921-928

Published: 15th June 2020

Authors: Nikolopoulos GK, Yiallourou AI, Argyriou C, Bonovas S, Georgiadis GS, Lazarides MK et al.

Conclusion

There were 16 RCTs including 2011 patients. Risk of treatment failure at three months was lowest after stent grafting: compared to plain balloon angioplasty, odds ratio 0.53, 95 per cent confidence interval 0.34 to 0.84. The best interventions to salvage a failing graft were drug-eluting balloon angioplasty and stent grafting.

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