Surgical Versus Percutaneous Care of Arteriovenous Access

Gelbfish, Gary A.

doi:10.1053/j.semvascsurg.2007.07.011

Cited by 18 publications

(10 citation statements)

References 24 publications

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“…Further surgical investigations are needed to extrapolate these results, with direct comparisons made using endovascular studies to identify the optimal method, as Gelbfish stated recently. 49 (Appendix Table IV It is known that chronic renal failure patients tend to stay on hemodialysis therapy for longer periods, and hence, considerable effort must be devoted to creating autogenous fistulas or at least repairing existing arteriovenous accesses (AVAs). 2 Those patients in whom native vein is not further available are recognized to benefit from surgery to revise a failing or failed AVA.…”

Section: Resultsmentioning

confidence: 99%

Surgical revision of complicated false and true vascular access–related aneurysms

Georgiadis

Lazarides

Panagoutsos

et al. 2008

Journal of Vascular Surgery

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Surgical revision of complicated false and true AVA-related aneurysms reveals acceptable postintervention primary patency rates and therefore is justified. This outcome measure was superior in the following specific groups of corrections: autogenous were better than prosthetic, true aneurysms were better than false aneurysms, patients with one or two previous AVAs in the revised arm were better than those with more than two previous accesses in the revised arm, and finally, forearms were better than those in the upper arm.

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Section: Resultsmentioning

confidence: 99%

Surgical revision of complicated false and true vascular access–related aneurysms

Georgiadis

Lazarides

Panagoutsos

et al. 2008

Journal of Vascular Surgery

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“…PTA has played an increasingly important role and become the current standard therapy to manage dialysis access dysfunction [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous management of acutely thrombosed hemodialysis grafts: The double balloon occlusion technique

Lai

Kang

Tsai

et al. 2008

Cathet Cardio Intervent

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“…Because of its success, safety, and ease of performance, percutaneous transluminal balloon angioplasty (PTA) has become the most common therapeutic endovascular procedure for the treatment of hemodialysis vascular access dysfunction (1)(2)(3)(4)(5). Balloon rupture can occur during inflation.…”

mentioning

confidence: 99%

Balloon Cinch Deformity during Angioplasty Procedures: An Indication for Impending Rupture

Salman

Castro

Vázquez-Padrón

et al. 2013

Seminars in Dialysis

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Percutaneous transluminal balloon angioplasty (PTA) is a commonly performed procedure for hemodialysis vascular access dysfunction including thrombosis. While PTA is generally safe, balloon rupture during the procedure is a potential complication. Because such a rupture can cause damage to the blood vessel, indication of an imminent balloon rupture might help avoid such a complication. This analysis reports on six PTA procedures that were complicated by balloon rupture. All cases demonstrated terminal (caudal/cranial) cinch deformation. There was a loss of sharp terminal tapering and its replacement with banana silhouette before the balloon rupture. Importantly, the contour deformation and balloon rupture occurred at a pressure that was lower than the rated burst pressure. The cinch deformity can be used as an indication for impending balloon rupture. We suggest deflation of balloons that demonstrate shape deformations to avoid vascular injury.

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Surgical Versus Percutaneous Care of Arteriovenous Access

Cited by 18 publications

References 24 publications

Surgical revision of complicated false and true vascular access–related aneurysms

Surgical revision of complicated false and true vascular access–related aneurysms

Percutaneous management of acutely thrombosed hemodialysis grafts: The double balloon occlusion technique

Balloon Cinch Deformity during Angioplasty Procedures: An Indication for Impending Rupture

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