Document Detail


Augmented balloon-assisted maturation (aBAM) for nonmaturing dialysis arteriovenous fistula.
MedLine Citation:
PMID:  21077047     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose: The surgically placed dialysis arteriovenous fistula (AVF) is considered by the Kidney Disease Outcomes Quality Initiative (KDOQI)and the Fistula First Breakthrough Initiative to be the ideal choice for hemodialysis access. A significant number of newly placed AVFs either slowly or never adequately mature sufficiently to provide for adequate dialysis. The balloon-assisted maturation (BAM) procedure utilizes serial angioplasty to promote and accelerate AVF maturation. We present a minimally invasive AVF maturation technique utilizing angioplasty, stent-graft, and coil embolization. Methods: A 41-year-old white woman presented with an nonmaturing AVF with multiple venous outflow channels. An adequately functioning AVF was achieved after 2 treatments including coil embolization, angioplasty, and stent-graft placement. Results: Adequate thrill and dialysis flow was achieved. Patient has done well during short-term follow-up without further intervention. Conclusions: BAM techniques can be an effective tool to help a dialysis patient achieve an adequately mature AVF. Additional vascular interventional techniques may be utilized to further improve clinical results. For the purpose of this report we call this technique "augmented balloon-assisted maturation," or aBAM.
Authors:
Evan J Samett; Joshua Hastie; Paramjit Romi Chopra; Sujit Pradhan; Iftikhar Ahmad; Terence Chiramel; Reginald Joseph
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-11-8
Journal Detail:
Title:  The journal of vascular access     Volume:  -     ISSN:  1724-6032     ISO Abbreviation:  -     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2011-1-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Midwest Institute for Minimally Invasive Therapies, Melrose Park, Illinois - USA.
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