Stenotic lesions in dialysis-access fistulas: treatment by transluminal angioplasty using high-pressure balloons.

Glanz, Sidney; Gordon, David; Butt, Khalid M. H.; Jiang, Hong; Adamsons, R J; Sclafani, Salvatore J. A.

doi:10.1148/radiology.156.1.3159041

Cited by 45 publications

(12 citation statements)

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“…However, the long-term results are similar whether high or low inflation pressures are employed [11,17]. The use of high-pressure inflation was not associated with a higher incidence of acute complications [16,17]. In no case was the arteriovenous fistula damaged and subsequent dialysis sessions were performed as scheduled.…”

Section: Discussionmentioning

confidence: 93%

“…The second important parameter is the use of a high inflation pressure (410 bars). Some authors [14,17] suggest that in adults pressures 4 25 bars are required. The need for such high pressures probably reflects the extremely fibrotic nature of such lesions, which appear to be more resistant and more prone to recoil than atheromatous stenoses [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies [6,8,11,17] in adults have shown that the use of high inflation pressures during angioplasty of stenoses of the venous portion of an arteriovenous fistula is associated with a better immediate angiographic outcome. However, the long-term results are similar whether high or low inflation pressures are employed [11,17].…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous angioplasty of arteriovenous (Brescia-Cimino) fistulae in children

Lahoche

Beregi

Kherbek

et al. 1997

Pediatric Nephrology

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The development of a stenosis in a Brescia-Cimino fistula is a major clinical problem that threatens vascular access for dialysis. We reviewed the case notes of 46 children undergoing hemodialysis via Brescia-Cimino fistulae. Ten children (mean age 12.5 years) developed 14 stenoses located in the venous (10), anastomotic (3), or arterial (1) part of the fistula. Three (1 arterial and 2 anastomotic stenoses) of the 14 stenoses were treated surgically; the remaining 11 (10 venous and 1 anastomotic stenoses) were treated by angioplasty. Seventeen angioplasty procedures were performed by the percutaneous venous route under local anesthesia. Mean follow-up was 24 months. Restenosis within 6 months occurred in 5 patients, predominantly those who had angioplasty with low balloon inflation pressures; 1 was treated surgically; 4 underwent repeat angioplasty using higher balloon inflation pressures (3 patients) or a bigger balloon (1 patient). None subsequently developed restenosis. Angioplasty can be safely used to treat stenosis of arteriovenous fistulae, with a high initial (60% freedom from restenosis at 6 months) success rate. In summary, balloon angioplasty, repeated if necessary, is a safe and effective treatment for the majority of stenoses occurring in Brescia-Cimino fistulae. Restenosis can be safely treated by further angioplasty, which is associated with a high rate of ultimate clinical success.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Percutaneous angioplasty of arteriovenous (Brescia-Cimino) fistulae in children

Lahoche

Beregi

Kherbek

et al. 1997

Pediatric Nephrology

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“…High-pressure balloons made of noncompliant polyethylene terephthalate or nylon were initially introduced in the early 1970s, and have been used to treat resistant hemodialysis-related venous stenosis 14 and coronary lesions. 15,16 Currently available high-pressure balloons can achieve pressures as high as 17 to 27 atm or more, as opposed to the more compliant low-pressure balloons that normally generate 3 to 12 atm.…”

Section: Ultrahigh-pressure Angioplastymentioning

confidence: 99%

Catheter Interventions for Pulmonary Artery Stenosis

Khan

Ing

2013

Interventional Cardiology Clinics

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“…These methods make the graft immediately available for dialysis, as opposed to the several days that may be required after placement of a new graft, and tend to prolong the life of each graft. PTA without the administration of a fibrinolytic agent has been used with varying success rates [1][2][3][4]. The 6-month patency rate varies between 68 and 76% [2,5].…”

mentioning

confidence: 99%