| Radiological central vein treatment in vascular access. | |
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MedLine Citation:
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PMID: 18609523 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In the last decades, the percutaneous interventional approach for the treatment of central venous obstructions (CVO) has become increasingly popular as the treatment of first choice because of its minimal invasiveness and reported success rates. CVOs are caused by a diverse spectrum of diseases which can be broadly categorized into two principal eliciting genera, either benign or malignant obstructions. The large group of benign venous obstructions includes the increasing number of end-stage renal disease patients with vascular access related complications. Due to the invasiveness and complexity of thoracic surgery for benign CVOs, the less invasive percutaneous interventional therapy can generally be considered the preferred treatment option. Initially, the radiological intervention consisted of balloon angioplasty alone, subsequently additional stent placement was applied. This was advocated as either primary placement or secondary in cases of elastic recoil or residual stenosis after percutaneous transluminal angioplasty (PTA). The efficacy of angioplasty of CVO in patients with vascular accesses, either with or without stenting, has been addressed by various studies. Overall, reports indicate an initial technical and clinical success rate above 95% and satisfactory patency rates. However, systematic follow-up and frequent re-interventions are necessary to maintain vascular patency to achieve long-term success. |
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Authors:
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M Mansour; L Kamper; A Altenburg; P Haage |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The journal of vascular access Volume: 9 ISSN: 1129-7298 ISO Abbreviation: J Vasc Access Publication Date: 2008 Apr-Jun |
Date Detail:
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Created Date: 2008-07-08 Completed Date: 2008-10-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100940729 Medline TA: J Vasc Access Country: Italy |
Other Details:
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Languages: eng Pagination: 85-101 Citation Subset: IM |
Affiliation:
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Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Wuppertal, University Hospital Witten/Herdecke, Wuppertal - Germany. michael.mansour@helios-kliniken.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angiography, Digital Subtraction Angioplasty, Balloon Catheterization, Central Venous / adverse effects* Graft Occlusion, Vascular / radiography, therapy* Humans Magnetic Resonance Imaging, Interventional* Radiology, Interventional* Renal Dialysis Stents Tomography, X-Ray Computed Ultrasonography, Interventional* Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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