| Directional atherectomy in the treatment of stenotic dialysis access fistulas. | |
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MedLine Citation:
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PMID: 2134034 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Directional atherectomy has proved useful in the treatment of peripheral vascular occlusive disease, and the authors have begun using this modality in the treatment of patients with failing hemodialysis access fistulas. The authors describe their initial experience with 13 patients in whom directional atherectomy was used to treat stenotic hemodialysis fistulas. Directional atherectomy was the sole treatment modality for eight patients. Three patients underwent atherectomy after unsuccessful percutaneous transluminal angioplasty (PTA). In two patients, unsuccessful atherectomy necessitated subsequent PTA. Directional atherectomy was successful in 10 of 13 patients. In seven of these 10 patients who are still alive, the dialysis fistulas remain patent. Directional atherectomy is a safe and useful technique in the percutaneous treatment of hemodialysis fistula stenosis. Early data indicate patency rates that may be higher than those reported with PTA. |
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Authors:
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G Zemel; B T Katzen; M D Dake; J F Benenati; T E Lempert; L Moskowitz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 1 ISSN: 1051-0443 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 1990 Nov |
Date Detail:
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Created Date: 1992-04-16 Completed Date: 1992-04-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 35-8 Citation Subset: IM |
Affiliation:
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Department of Radiology, Miami Vascular Institute, Baptist Hospital of Miami 33176. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arteriosclerosis
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surgery* Arteriovenous Shunt, Surgical* Constriction, Pathologic / surgery Humans Polytetrafluoroethylene Renal Dialysis* |
| Chemical | |
Reg. No./Substance:
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9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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