Document Detail


Intra-operative central vein angioplasty during arteriovenous access creation.
MedLine Citation:
PMID:  16552700     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Central vein stenosis or occlusion due to prior use of central vein hemodialysis catheters may lead to disabling extremity edema or cause early failure after arteriovenous access construction. Our integrated program for arteriovenous access management enables us to identify these stenoses pre-operatively. We carried out intra-operative angiography and angioplasty during arteriovenous access creation in 3 patients with good immediate and long-term results. Intra-operative endovascular therapy is a new application of peripheral vascular surgery techniques for patients with significant central vein stenosis undergoing access surgery, which exploits the high postoperative flow state to maintain patency after angioplasty. It may also be applicable in situations such as proximal arterial stenosis with anticipated steal syndrome and other conditions that may compromise access patency.
Authors:
D Shemesh; O Olsha; D Berelowitz; I Zaghal; I Goldin; C Zigelman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of vascular access     Volume:  6     ISSN:  1129-7298     ISO Abbreviation:  J Vasc Access     Publication Date:    2005 Oct-Dec
Date Detail:
Created Date:  2006-03-22     Completed Date:  2006-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  187-91     Citation Subset:  -    
Affiliation:
Hemodialysis Access Unit, Department of Surgery and Vascular Surgery Unit, Shaare Zedek Medical Center, Jerusalem, Israel. shemeshd@szmc.org.il
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