| Percutaneous venous angioplasty in the treatment of stenotic lesions affecting dialysis fistulas. | |
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MedLine Citation:
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PMID: 1836336 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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G A Beathard |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 1992-01-29 Completed Date: 1992-01-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8611947 Medline TA: ASAIO Trans Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: M224-5 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon* Arteriovenous Shunt, Surgical* Follow-Up Studies Graft Occlusion, Vascular / therapy* Humans Recurrence Renal Dialysis* Vascular Resistance / physiology |
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