Ultrasound-guided Endovascular Treatment for Vascular Access Malfunction: Results in 4896 Cases

Wakabayashi, Masanori; Hanada, Sayaka; Nakano, Hiroyuki; Wakabayashi, Tsunemichi

doi:10.5301/jva.5000126

Cited by 35 publications

(43 citation statements)

References 11 publications

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“…However, application of ultrasound imaging during endovascular procedures on the subclavian vein and brachiocephalic trunk was also described. In such situations a micro-covex probe is used, which enables visualization of vessels through intercostal spaces [9]. Ultrasound allows for precise determination of puncture site, making it easier to conduct the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound-guided angioplasty of dialysis fistula – technique description

Bojakowski

Góra²,

Szewczyk

et al. 2013

Pol J Radiol

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SummaryEndovascular procedures are commonly used for treatment of vascular pathologies. These interventions are routinely performed under angiographic control. Angioplasty is increasingly more often used for correction of dialysis fistula – especially dilatation of stenosis. We describe the technique of dialysis fistula angioplasty under ultrasound control. Benefits of this procedure include lack of nephrotoxic contrast, what is especially important in chronic kidney disease patients in pre-dialysis period. Advantages of ultrasound guidance during dialysis fistula angioplasty lead to cause more and more frequent employment of this technique.

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Section: Discussionmentioning

confidence: 99%

“…Effectiveness ranged between 92 and 97% depending on indications and location of the lesion [4,9]. In our opinion, ultrasound control of dialysis fistula repairs will be used increasingly more often due to frequent indications, effectiveness and small costs.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided angioplasty of dialysis fistula – technique description

Bojakowski

Góra²,

Szewczyk

et al. 2013

Pol J Radiol

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“…Recently, vascular access intervention therapy (VAIVT) has become one of the established therapy options for resolving VAF [1,[6][7][8][9][10][11]. Although VAIVT is less invasive than surgical reconstruction [7,[12][13][14], information on prevention of VAF after VAIVT is limited.…”

Section: Introductionmentioning

confidence: 99%

Patency with antiplatelet treatment after vascular access intervention therapy: a retrospective observational study

et al. 2018

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Background: Vascular access (VA) intervention therapy (VAIVT) has been increasingly used for treating VA failure (VAF) in patients undergoing hemodialysis; however, clinical evidence demonstrating the efficacy of prevention of VAF after VAIVT is limited. Therefore, we aimed to assess characteristics of patients developing VAF after VAIVT and analyze risk factors for VAF after VAIVT. Methods: This retrospective study included 96 patients with VAF who underwent ultrasound-guided VAIVT by interventional nephrologists between January 2013

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“…Procedures were first performed in the cathlab under sonography guidance, limiting the use of fluoroscopy to bail-out procedure [1][2][3][4][5][6]. After exclusion of cases with central vein stenosis (where duplex scan does not provide sufficient image quality) three authors then investigated the feasibility of AVFs angioplasty or AVFs balloon-assisted maturation in an office-based setting with very encouraging results [1][2][3]. Overall these first studies demonstrated the feasibility of this technique without experiencing major adverse event [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Dialysis Access: Percutaneous Endovascular Interventions under Sonographic Guidance Alone

Périard¹,

Meyer²,

Hemett³

et al. 2017

Vasc Med Surg

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Purpose: Prosthetic shunts or native arteriovenous fistulas (AVFs) often require surgical or percutaneous endovascular interventions to correct stenosis or remove thrombosis. Catheterizations usually require radiation and iodinated contrast medium. Sonography and color-Doppler provide reliable images and measurement of dialysis access anatomy and volume flow, and have therefore a great potential to allow dialysis access percutaneous interventions in simple examination rooms without any contrast medium and any radiation, sparing time and human resources. Methods:From September 2011 to June 2016, all patients with dialysis access requiring percutaneous angioplasty, stenting, or thrombectomy were included in this cohort study and treated under sonography guidance alone. Patients with target lesion in central vessels were excluded. Efficacy outcomes were defined as improvement in volume flow and peak systolic velocity (PSV) of the stenosis.Results: Sixty-six procedures were performed in 31 patients (21 (66.7%) males; 65.5 ± 15.1 years old). There was no adverse event except moderate pain during balloon angioplasty. Primary success of the procedure was 97.0%. The volume flow rose from 449 ± 241 mL/min to 786 ± 262 mL/min and the PSV decrease from 6.1 ± 0.9 to 3.1 ± 1.1 m/s. The median time to next intervention was 10.9 months with 82.9% of re-interventions performed under sonography guidance again. Conclusions:Sonographic guidance alone is efficient and safe, for the majority of percutaneous interventions on prosthetic or native access. This approach is much simpler and cheaper, does not expose the patient and physician to radiations, and does not require contrast medium.

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Ultrasound-guided Endovascular Treatment for Vascular Access Malfunction: Results in 4896 Cases

Abstract: Ultrasound-guided PTA for arteriovenous fistula malfunction could be used as a substitute for fluoroscopy-guided PTA, and enables the use of safe and rapid intervention techniques.

Cited by 35 publications

References 11 publications

Ultrasound-guided angioplasty of dialysis fistula – technique description

Ultrasound-guided angioplasty of dialysis fistula – technique description

Patency with antiplatelet treatment after vascular access intervention therapy: a retrospective observational study

Dialysis Access: Percutaneous Endovascular Interventions under Sonographic Guidance Alone

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