Document Detail

Hemodialysis access graft stenosis: percutaneous transluminal angioplasty.
MedLine Citation:
PMID:  9184678     Owner:  NLM     Status:  MEDLINE    
Maintenance of dialysis access continues to plague care of the patient with ESRD. Because of the poor outcomes from surgical revision, there is increasing interest in balloon angioplasty as a technique for dilating stenoses in the functioning, but compromised graft. Forty patients treated with percutaneous transluminal angioplasty (PTA), without subsequent intervention, for graft dysfunction were retrospectively studied. Time to thrombosis of the graft was noted. Patency was determined using the Kaplan-Meier technique. Patency following PTA at 1, 6, and 12 months was 76, 27, and 10%. Patency following PTA of arteriovenous graft stenoses results in disappointing medium and long-term patency. Alternate strategies for improving patency of these conduits should be explored.
A B Lumsden; M J MacDonald; D K Kikeri; L A Harker; R C Allen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of surgical research     Volume:  68     ISSN:  0022-4804     ISO Abbreviation:  J. Surg. Res.     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-06-26     Completed Date:  1997-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376340     Medline TA:  J Surg Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  181-5     Citation Subset:  IM    
Department of Surgery, Veteran Affairs Medical Center, Decatur, Georgia, USA.
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MeSH Terms
Angioplasty, Balloon*
Arteriovenous Shunt, Surgical
Graft Occlusion, Vascular / surgery*
Middle Aged
Renal Dialysis*
Retrospective Studies
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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