Covered Stent Exclusion of Dialysis Access Pseudoaneurysms

Najibi, Sasan; Bush, Ruth L.; Terramani, Thomas T.; Chaikof, Elliot L.; Gunnoud, Annette B.; Lumsden, Alan B.; Weiss, Victor J.

doi:10.1006/jsre.2002.6389

Cited by 96 publications

(82 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A more systematic evaluation of this percutaneous solution quickly followed. Najibi et al (62) reported a series of ten patients with AVG or AVF pseudoaneurysms treated with covered stent placement to exclude the lesion. On initial followup, all patients had lost the palpable pseudoaneurysm pulsation.…”

Section: Stents Grafts and Pseudoaneurysmsmentioning

confidence: 99%

“…To date, no study has conclusively established the safety of repeated cannulation of a stent graft. Some of the reports that have evaluated the role of stent grafts in the management of pseudoaneurysms have commented on the stent cannulation (61)(62)(63). These analyses, however, were limited by retrospective study design and a very small sample size (three to 11 patients).…”

Section: Stents Grafts and Pseudoaneurysmsmentioning

confidence: 99%

See 1 more Smart Citation

Stent Placement in Hemodialysis Access

Yevzlin

Asif

2009

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

Vascular access stenosis in patients undergoing chronic hemodialysis is a major issue that is associated with increased morbidity, mortality, and cost of medical care. Recent data have emphasized that endovascular stents could be used in the treatment of central as well as peripheral stenotic lesions. In general, a peripheral or central vein lesion that is elastic or recurs within a three-month period after an initially successful balloon angioplasty or a stenosis where surgical revision is not possible are some indications for intravascular stent placement. Recent reports have expanded the role of stents in the management of pseudoaneurysms associated with dialysis access. In this context, the utilization of these devices must take into account a fair comparison with the traditional (surgical) approaches regarding effectiveness as well as costs. This report describes the role of stents in arteriovenous dialysis access. In addition, some of the recent advances in the structure and complicating issues such as stent fracture, migration, and infection, as well cannulation through the stent, are discussed.

show abstract

Section: Stents Grafts and Pseudoaneurysmsmentioning

confidence: 99%

Section: Stents Grafts and Pseudoaneurysmsmentioning

confidence: 99%

Stent Placement in Hemodialysis Access

Yevzlin

Asif

2009

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

show abstract

“…A covered stent could be placed in the parent artery to bridge the abnormality to occlude blood flow into the aneurysm lumen or CCF rents. The use of covered stents in the proximal carotid and vertebral arteries has been reported (Geremia et al, 1997;Schellhammer et al, 1999;Fontaine et al, 2001;Najibi et al, 2002;Marty et al, 2002). For the intracranial application, the covered stent has to be miniaturized to fit the smaller, more complex arteries in the brain.…”

Section: Introductionmentioning

confidence: 99%

Finite element analysis of covered microstents

Santra

Mericle

et al. 2005

Journal of Biomechanics

View full text Add to dashboard Cite

show abstract

“…[4] Although stents have not been reported to be a permanent treatment for infected patients, they can be used with success in cases of pseudoaneurysms without infection. [8] Endoluminal placement of a stented graft effectively excludes pseudoaneurysms and maximizes the functional life span of the access while also maintaining other sites as future access options. [8] Stent-grafting might have to be limited to cases in which, for some reason, standard operations cannot be performed.…”

Section: Discussionmentioning

confidence: 99%

“…[8] Endoluminal placement of a stented graft effectively excludes pseudoaneurysms and maximizes the functional life span of the access while also maintaining other sites as future access options. [8] Stent-grafting might have to be limited to cases in which, for some reason, standard operations cannot be performed. [9] The patient reported here was well enough to undergo surgery.…”

Section: Discussionmentioning

confidence: 99%

Treatment of an infected giant brachial artery pseudoaneurysm: a case report

Ezer¹

2012

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Periferik arter anevrizmaları, üst ekstremitelerde alt ekstremitelerden çok daha az görülür. Hemodiyaliz için yapı-lan venöz kateterizasyon esnasında istenmeden meydana gelen brakiyal arter delinmesine sekonder dev brakiyal arter psödoanevrizma oluşumu nadirdir. Bu psödoanev-rizmalar; yaşamı tehdit eden kanama, ekstremite fonksiyonlarında ciddi azalma, kol ya da parmakların kaybı ve hatta ölüm gibi ciddi komplikasyonlara neden olabilir. Bu yazıda, hemodiyaliz için yapılan kateterizasyon esnasında brakiyal arter delinmesine sekonder ortaya çıkan enfekte brakiyal arter psödoanevrizmasının, anevrizmektomi ve safen ven grefti interpozisyonu ile başarılı bir şekilde tedavisi sunulmuştur.Anah tar söz cük ler: Brakiyal arter; enfekte psödoanevrizma; safen greft; üst ekstremite.Peripheral artery aneurysms are much less frequent in the upper extremities than in the lower extremities. Giant brachial artery pseudoaneurysms secondary to inadvertent puncture of the brachial artery during venous cannulation for hemodialysis are rare. These pseudoaneurysms may result in serious complications such as life-threatening hemorrhage and severe decreases in extremity function and also lead to loss of arms or fingers and even death. In this article, we present a case of infected giant brachial artery pseudoaneurysm secondary to brachial artery puncture for hemodialysis and successfully treated with aneurysmectomy and a short saphenous vein interposition graft.

show abstract

Covered Stent Exclusion of Dialysis Access Pseudoaneurysms

Cited by 96 publications

References 9 publications

Stent Placement in Hemodialysis Access

Stent Placement in Hemodialysis Access

Finite element analysis of covered microstents

Treatment of an infected giant brachial artery pseudoaneurysm: a case report

Contact Info

Product

Resources

About