Document Detail

Cutting balloon angioplasty for undilatable venous stenoses causing dialysis graft failure.
MedLine Citation:
PMID:  12652505     Owner:  NLM     Status:  MEDLINE    
Dialysis fistulas and bridge grafts frequently develop outflow stenoses in the venous limb, leading to graft failure. The venous stenoses are fibrotic and require percutaneous transluminal angioplasty with high-pressure balloons. We have encountered venous stenoses in 3 out of 219 hemodialysis patients with graft failure that were undilatable with 6-8 mm high-pressure balloons inflated to more than 24 atm. In each of these cases, treatment with a 4 mm cutting balloon successfully facilitated subsequent balloon dilation at lower pressures.
John A Bittl; Robert L Feldman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  58     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-24     Completed Date:  2003-07-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  524-6     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley-Liss, Inc.
Ocala Heart Institute, Munroe Regional Medical Center, Ocala, Florida 34474, USA.
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MeSH Terms
Angioplasty, Balloon / methods*
Catheters, Indwelling / adverse effects*
Follow-Up Studies
Graft Occlusion, Vascular / radiography,  therapy*
Kidney Failure, Chronic / diagnosis,  therapy
Middle Aged
Renal Dialysis / adverse effects*,  methods
Risk Assessment
Sampling Studies
Treatment Outcome
Vascular Patency
Venous Thrombosis / etiology,  radiography,  therapy*

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