Document Detail


Results of a peripheral cutting balloon prospective multicenter European registry in hemodialysis vascular access.
MedLine Citation:
PMID:  17205361     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report initial experience with the Peripheral Cutting Balloon (PCB) in treatment of failing hemodialysis shunts. METHODS: A total of 190 patients (95 men, 95 women; average age 64.4 +/- 11.9 years, range 32-87 years) who were treated with the PCB for pressure-resistant stenosis, restenosis or failed percutaneous transluminal angioplasty (PTA) in the venous limb of an arteriovenous shunt were followed in seven European centers using a simple registry. The group consisted of 109 de novo lesions (57%) and 79 restenotic lesions (43%). RESULTS: Technical success was achieved in 88.9% of cases. Primary patency was as follows (the results for whole group and simultaneous results for de novo lesions and restenoses are presented): 1 month (140 patients followed): 94%, 98%, and 93%; 3 months (116 patients followed): 93%, 98%, and 92%; 6 months (40 patients followed): 85%, 92%, and 79%; 12 months (27 patients followed): 74%, 87%, and 48%. No complication occurred. Patients experienced an equal or lower level of pain during the procedure compared with conventional PTA. CONCLUSION: The PCB proved to be successful in dilating pressure-resistant stenoses. We cannot conclude whether PCB angioplasty can lower the restenosis rate in hemodialysis access lesions, but the long-term patency for de novo lesions is high. A further randomized study is advisable.
Authors:
Jan H Peregrin; Miloslav Rocek
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-01-22     Completed Date:  2007-07-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  212-5     Citation Subset:  IM    
Affiliation:
Department of Diagnostic and Interventional Radiology, Institute for Clinical and Experimental Medicine, Vídenská 1958/9, 14021 Prague 4, Czech Republic. jape@medicon.cz
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon*
Arteriovenous Shunt, Surgical* / adverse effects
Europe
Extremities / blood supply
Female
Follow-Up Studies
Graft Occlusion, Vascular / etiology*,  physiopathology,  therapy*
Humans
Male
Middle Aged
Pain, Postoperative / etiology
Prospective Studies
Registries
Renal Dialysis / adverse effects*
Severity of Illness Index
Time Factors
Treatment Outcome
Vascular Patency
Vascular Resistance

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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