Document Detail

Percutaneous venous angioplasty in the treatment of stenotic lesions affecting dialysis fistulas.
MedLine Citation:
PMID:  1836336     Owner:  NLM     Status:  MEDLINE    
A systematic approach was used to detect venous stenotic fistula lesions in a large dialysis population. All significant stenoses were treated with percutaneous venous angioplasty (PTVA). A total of 380 PTVAs were done in 241 patients. It was possible to dilate 96% of lesions successfully. A complication rate of 3.4% was seen, and only two fistulas were lost. Patient follow-up consisted of monitoring percent decrease in venous resistance (VR) and determining long-term patency. The VR was decreased 35.4% at 1 week and 23.5% at 3 months; 58% of the treated fistulas continued to be patent at 6 months, and 35% at 12 months. It was concluded that PTVA can prolong the life of hemodialysis fistulas successfully with a low level of complications. The lesions tend to recur, but they can be retreated successfully, obviating surgery and preventing the depletion of potential vascular access sites.
G A Beathard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ASAIO transactions / American Society for Artificial Internal Organs     Volume:  37     ISSN:  0889-7190     ISO Abbreviation:  ASAIO Trans     Publication Date:    1991 Jul-Sep
Date Detail:
Created Date:  1992-01-29     Completed Date:  1992-01-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8611947     Medline TA:  ASAIO Trans     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  M224-5     Citation Subset:  IM    
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MeSH Terms
Angioplasty, Balloon*
Arteriovenous Shunt, Surgical*
Follow-Up Studies
Graft Occlusion, Vascular / therapy*
Renal Dialysis*
Vascular Resistance / physiology

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