Aneurysms of Hemodialysis Access Grafts: Treatment with Covered Stents: A Report of Three Cases

Journal Article · Wed Jul 15 04:00:00 EDT 1998 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900271· OSTI ID:21080395

Hausegger, Klaus A ^[1]; Tiessenhausen, Kurt ^[2]; Klimpfinger, Martin ^[3]; Raith, Johann ^[1]; Hauser, Hubert ^[2]; Tauss, Josef ^[1]

---

1. Department of Radiology, University Hospital Graz, Auenbruggerplatz 9, A-8036 Graz (Austria)
2. Department of Vascular Surgery, University of Graz, Auenbruggerplatz 9, A-8036 Graz (Austria)
3. Department of Pathology, University of Graz, Auenbruggerplatz 9, A-8036 Graz (Austria)

Three patients with dialysis access graft shunts, having a symptomatic pseudoaneurysm and a hemodynamically significant stenosis at the anastomosis between the graft shunt and the subclavian vein, were treated with percutaneous transluminal angioplasty and insertion of a Wallstent. Pseudoaneurysms were excluded by percutaneous insertion of a Cragg Endo-Pro stent-graft with a diameter of 6 mm and a length of 6-10 cm. All three aneurysms were excluded successfully. In two patients, the stent-graft was punctured repeatedly during follow-up and the aneurysms recurred after 7 and 8 months, respectively. The patency of the dialysis shunt after stent-graft insertion was 8 (n= 1) and 9 months (n= 2). Due to the recurrence of the aneurysm (n= 2) or recurrent thrombosis (n= 1) the use of these shunts was discontinued.

• OSTI ID: 21080395
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 21; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BYPASSES
DIALYSIS
GRAFTS
PATIENTS
THROMBOSIS
VEINS