Abstract:When a distal access fails to mature because of forearm artery lesions, PTA should be done and will salvage the fistula without risk of distal ischemia and cardiac failure. Efficacy of PTA clearly influences surgical strategy and is a major argument in favor of attempting to create distal accesses in patients with mild distal artery lesions. Even in cases of failure, such as early occlusion of the fistula, this technique does not jeopardize further proximal access creation. Forearm access creation should be av… Show more
“…The best AVF configuration is the distal radiocephalic (RC) AVF, with the best patency and lowest reintervention rates compared with alternative access types. [1][2][3][4] Access failure from venous stenoses is the commonest problem, occurring in up to 78% of cases. 5,6 Fistulas that fail to mature (FTM) are AVFs that never develop to the point of dialysis, many of which are traditionally abandoned.…”
mentioning
confidence: 99%
“…9 Conventional management strategies for JXA stenoses are all problematic. 1,2,7 Proximalization of the RC AVF is often used to treat problems in the JXA segment. However, this reduces the useable length of the fistula, and similar JXA problems often develop at the site of proximalization.…”
“…The best AVF configuration is the distal radiocephalic (RC) AVF, with the best patency and lowest reintervention rates compared with alternative access types. [1][2][3][4] Access failure from venous stenoses is the commonest problem, occurring in up to 78% of cases. 5,6 Fistulas that fail to mature (FTM) are AVFs that never develop to the point of dialysis, many of which are traditionally abandoned.…”
mentioning
confidence: 99%
“…9 Conventional management strategies for JXA stenoses are all problematic. 1,2,7 Proximalization of the RC AVF is often used to treat problems in the JXA segment. However, this reduces the useable length of the fistula, and similar JXA problems often develop at the site of proximalization.…”
“…In contrast, they did not confirm any correlation between the type of pathology (stenosis vs occlusion) and PP rates [15]. Raynaud et al observed significantly higher number of restenosis within the venous part of fistulas [24].…”
Section: Pawel Maga Et Al Endovascular Treatment Of Arteriovenous Fmentioning
Introduction. The arteriovenous fistula (AVF) dysfunction is a common reason for vascular access problem in chronically hemodialyzed patients. It is caused by stenosis or occlusion located either in inflow artery
“…It is mainly the result of stenosing arteriovenous lesions or of an excess of collaterals in the venous section. These causes are easily detected sonographically (33,42). Excess of superficial or perforating collaterals on the draining vein implies a rapid decrease of the fistulous venous flow and henceforth dialysis problems.…”
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