| New office-based vascular interventions. | |
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MedLine Citation:
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PMID: 19022786 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Following contemporary trend, various vascular interventions being performed in the office. We describe our office experience with radiofrequency ablation (RFA) of incompetent perforating veins (IPV) and duplex-guided balloon angioplasties of failing/nonmaturing arterio-venous fistulas (AVF). DUPLEX-GUIDED BALLOON ANGIOPLASTIES OF AVF: Eighteen patients with 20 failing arterio-venous (AV) fistulas underwent office duplex-guided balloon angioplasties. Thirteen procedures (65%) were on non-maturing fistulas and the remaining 7 (35%)--in dialyzed patients. Sheath insertion, wire and balloon passage and inflation were guided by duplex only. RFA OF IPVS: We performed 25 radiofrequency ablations of 49 IPVs. Early follow-up scan confirmed total occlusion of 45 (92%) treated IPVs. Patients gender, CEAP class, perforator diameter or GSV patency did not correlate with current procedure failure. CONCLUSION: Excellent duplex imaging quality and technical advances in endovascular tools allowed us safely perform AVF balloon angioplasties and RFA of IPVs in the office. |
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Authors:
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Natalie Marks; Anil Hingorani; Enrico Ascher |
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Publication Detail:
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Type: Journal Article Date: 2008-11-19 |
Journal Detail:
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Title: Perspectives in vascular surgery and endovascular therapy Volume: 20 ISSN: 1531-0035 ISO Abbreviation: Perspect Vasc Surg Endovasc Ther Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-19 Completed Date: 2009-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100970607 Medline TA: Perspect Vasc Surg Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 340-5 Citation Subset: IM |
Affiliation:
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Maimonides Medical Center, Division of Vascular Surgery, Brooklyn, New York 11219, USA. nmarks@maimonidesmed.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Ambulatory Surgical Procedures* Angioplasty, Balloon* / adverse effects Arteriovenous Shunt, Surgical / adverse effects* Catheter Ablation* / adverse effects Female Humans Male Middle Aged Renal Dialysis* Time Factors Treatment Failure Ultrasonography, Doppler* Ultrasonography, Interventional / methods* Vascular Patency Venous Insufficiency / surgery*, ultrasonography |
| Comments/Corrections | |
Comment In:
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Perspect Vasc Surg Endovasc Ther. 2008 Dec;20(4):346-7
[PMID:
19033267
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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