Treatment of stenotic lesions in dialysis access fistulas and shunts by transluminal angioplasty.

Gordon, David; Glanz, Sidney; Butt, Khalid M. H.; Adamsons, R J; Koenig, Matthew A.

doi:10.1148/radiology.143.1.6461027

Cited by 48 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Angiography and transluminal angio plasty can be used to identify and treat this problem when symptoms and signs such as high venous pressures, inadequate dialysis, and extremity pain and edema occur [8,9,12,[15][16][17]. Often, recirculation testing can detect a stenosis before symptoms occur and before the stenosis becomes too severe for successful treatment with transluminal an gioplasty [1,2,4,18,19].…”

Section: Resultsmentioning

confidence: 99%

Recirculation: Review, Techniques for Measurement and Ability to Predict Hemoaccess Stenosis before and after Angioplasty

Nardi

Bosch²

1988

Blood Purif

View full text Add to dashboard Cite

The measurement of recirculation during two-needle hemodialysis has been shown to provide valuable information concerning distal hemoaccess stenosis and the loss of effective dialysis. Reference sources have suggested that levels of recirculation above 20% call for further investigation. We proposed a technique for routine recirculation measurement and studied 20 stable hemodialysis patients using this method. We found that all patients had recirculations of less than 10%. We also studied 2 patients with angiographically proven stenosis and found 1 patient with a recirculation of less than 20%.Routine recirculation testing provides valuable information about hemoaccess integrity and using our techniques, recirculation greater than 10% is an indication for further study.

show abstract

Section: Resultsmentioning

confidence: 99%

Recirculation: Review, Techniques for Measurement and Ability to Predict Hemoaccess Stenosis before and after Angioplasty

Nardi

Bosch²

1988

Blood Purif

View full text Add to dashboard Cite

show abstract

“…Balloon inflation almost invariably induces relatively severe pain. Indeed, if pain does not occur, it may indicate that the balloon is undersized or incorrectly positioned [15]. An inadequate immediate angiographic result is associated with a higher risk of subsequent restenosis [3].…”

Section: Discussionmentioning

confidence: 99%

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

Lahoche

Beregi

Kherbek

et al. 1997

Pediatric Nephrology

View full text Add to dashboard Cite

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.

show abstract

“…Venous transluminal angioplasty has mainly been described in the Budd-Chiari syndrome secondary to hepatic or caval webs (7,11,13,17,20,21) and in stenoses of dialysis access fistulas (4)(5)(6)9). Pulmonary vein stenoses (12), caval narrowings (12,16,18), stenosis of portosystemic shunts (1-3, 8,10,14,15), and obstruction of the portal vein (19) have also been dilated with a similar technique.…”

Section: Discussionmentioning

confidence: 99%