Treatment of Hemodialysis-related Central Venous Stenosis or Occlusion: Results of Primary Wallstent Placement and Follow-up in 50 Patients

Haage, Patrick; Vorwerk, Dierk; Piroth, Werner; Schuermann, K; Guenther, Rolf W.

doi:10.1148/radiology.212.1.r99jl21175

Cited by 180 publications

(121 citation statements)

References 25 publications

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“…1,[15][16][17][18][19][20][23][24][25][26][27][28] Additionally, also in common with other authors, 20,21 we did not observe superior patency in angioplasties with stents. Notwithstanding, our results differ with …”

Section: Discussionsupporting

confidence: 84%

“…Other authors have reported recanalization of obstructions using rigid guidewires. 26 Notwithstanding, we have not had the opportunity to attempt these techniques and occlusions remain our greatest challenge in endovascular treatment of COVD. We consider these techniques to be aggressive and subject to complications with high morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

“…The second point is that covered stents are also being used to treat lesions that are unresponsive to angioplasty, even using stents. 26,30,31 The potential advantages of these materials include the provision of a relatively inert and stable intravascular matrix for endothelization, allied to the mechanical advantages offered by stents. This could reduce the intimal hyperplasia response, reducing restenosis rates after angioplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Patency can vary from 72 to 100% at 3 months, through 55 to 100% at 6 months to 56 to 97% at 12 months. 20,[23][24][25][26][27][28] To our knowledge, to date there have been no prospective controlled studies comparing angioplasties with and without stents for treatment of COVD. In a retrospective study published by Bakken et al in 2007 20 and comparing angioplasties with and without stents, the authors showed that there were no significant differences in patency results between angioplasties with and without stents ( Table 3).…”

Section: Discussionmentioning

confidence: 99%

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Endovascular treatment of occlusive central venous disease: one center's experience

Silvestre¹,

Trevisan²,

Sardinha³

et al. 2014

J. vasc. bras.

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Introduction: The majority of cases of stenosis or occlusion of central veins are the result of central catheters, arteriovenous fistulas, neoplasms or traumas and these conditions can cause severe cases of venous hypertension or reduce the flow through fistulas. The objective of this study is to analyze the results of central venous angioplasties conducted at our hospital. Methodology: We conducted a retrospective and descriptive study to analyze the results of central venous angioplasties conducted from 2010 to 2012 at a university hospital run by the Universidade Estadual de Londrina, Brazil. We calculated primary and secondary success rates and analyzed whether or not stents were used and complications occurred during a 6-month follow-up period. Results: A total of 25 central venous angioplasties were conducted. Twenty-four (96%) of these were because of catheter-related intimal hyperplasia and one was to treat the effects of compression by a tumor. Fifteen (60%) angioplasties were to correct stenosis and ten (40%) were because of occlusions, with a one-hundred percent success rate for all stenosis-related procedures. However, none of the cases of occlusion could be treated endovascularly. Patency during the 6-months follow-up period was 80% after reinterventions. Conclusions: Despite good results observed after primary interventions for stenoses, it must be accepted that all current treatment options for chronic occlusive venous disease will, sooner or later, lead to restenosis or occlusion. Venous occlusions constitute a challenge demanding the development of new techniques and new materials. Prevention is paramount, through avoidance of central catheterization and early creation of arteriovenous fistulas.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Endovascular treatment of occlusive central venous disease: one center's experience

Silvestre¹,

Trevisan²,

Sardinha³

et al. 2014

J. vasc. bras.

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“…DSA allows periinterventional as well as postoperative evaluation of stenoses of the afferent and efferent legs of a dialysis vascular access and the detection of central thrombi. Any remaining stenoses [37] and central vein stenoses can also be detected in this manner [6]. Complete angiographic visualization, which can also be conducted in an ambulant setting [38], is performed via retrograde arterial fine-needle puncture of the brachial artery near the elbow or antegrade puncture of the efferent vascular access vein.…”

Section: Angiographymentioning

confidence: 99%

Diagnosis and Treatment of Insufficient Dialysis Vascular Access

Kamper

Faizy²,

Haage³

2015

Fortschr Röntgenstr

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A wide variety of diagnostic and minimally invasive modalities is currently available to radiologists for providing sufficient medical care for dialysis patients. In addition to clinical examination, ultrasound is the first line imaging method in suspected dialysis vascular access dysfunction. The percutaneous approach is the primarily recommended therapeutic option in many cases. This article reviews the current diagnostic and therapeutic methods in dialysis vascular access insufficiency. Key Points: ??Vascular access dysfunction is often elicited by stenosed vessels, which are regularly associated with concomitant thrombosis. ??Stenoses are commonly observed in the anastomosis, vascular access vein and also in the central venous system. ??Beside the clinical examination, sonography is the diagnostic method of first choice. ??Percutaneous balloon dilatation frequently is the first treatment option. Citation Format: ??Kamper L, Faizy TD, Haage P. Diagnosis and Treatment of Insufficient Dialysis Vascular Access. Fortschr R?ntgenstr 2015; 187: 360???371

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Arteriovenous Graft Interventions

Naoum¹,

Wei²,

Peden³

2006

Endovascular Therapy

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Treatment of Hemodialysis-related Central Venous Stenosis or Occlusion: Results of Primary Wallstent Placement and Follow-up in 50 Patients

Abstract: In the treatment of brachiocephalic and subclavian venous obstruction, stent placement shows excellent technical results and helps preserve vascular access for a substantial period. Multiple repeat interventions are, however, frequently required to maintain patency.

Cited by 180 publications

References 25 publications

Endovascular treatment of occlusive central venous disease: one center's experience

Endovascular treatment of occlusive central venous disease: one center's experience

Diagnosis and Treatment of Insufficient Dialysis Vascular Access

Arteriovenous Graft Interventions

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