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Title: Ultrasound-Guided Angioplasty of Dysfunctional Vascular Access for Haemodialysis. The Pros and Cons

Abstract

PurposeTo describe the benefits and the disadvantages of angioplasty in dialysis fistulas using only ultrasound guidance.Materials and MethodsThis is a prospective study in 132 failing or non-maturing arteriovenous accesses that underwent 189 ultrasound-guided balloon angioplasties. The technical success was defined as non-use of X-ray fluoroscopy during the procedure.Results127 procedures (67%) were successfully completed without fluoroscopy. Most failures were due to difficulty to traverse aneurismal segments, as well as anastomotic stenoses. Including initial failures, the primary patency rates at 6, 12 months and 2 years were 75 ± 3, 41 ± 3 and 14 ± 2%, respectively.ConclusionEndovascular repair of the dysfunctional vascular access for haemodialysis under ultrasound guidance is feasible and safe in roughly two-thirds of cases.

Authors:
 [1];  [2]
  1. “Reina Sofia” University Hospital, Vascular and Interventional Radiology Unit, Department of Radiology (Spain)
  2. University of Murcia, Faculty of Medicine (Spain)
Publication Date:
OSTI Identifier:
22645226
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 5; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BALLOONS; DIALYSIS; FAILURES; FLUOROSCOPY; REPAIR; VASCULAR DISEASES

Citation Formats

García-Medina, J., E-mail: josegmedina57@gmail.com, and García-Alfonso, J. J., E-mail: juanjozarandieta@gmail.com. Ultrasound-Guided Angioplasty of Dysfunctional Vascular Access for Haemodialysis. The Pros and Cons. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1541-9.
García-Medina, J., E-mail: josegmedina57@gmail.com, & García-Alfonso, J. J., E-mail: juanjozarandieta@gmail.com. Ultrasound-Guided Angioplasty of Dysfunctional Vascular Access for Haemodialysis. The Pros and Cons. United States. doi:10.1007/S00270-016-1541-9.
García-Medina, J., E-mail: josegmedina57@gmail.com, and García-Alfonso, J. J., E-mail: juanjozarandieta@gmail.com. Mon . "Ultrasound-Guided Angioplasty of Dysfunctional Vascular Access for Haemodialysis. The Pros and Cons". United States. doi:10.1007/S00270-016-1541-9.
@article{osti_22645226,
title = {Ultrasound-Guided Angioplasty of Dysfunctional Vascular Access for Haemodialysis. The Pros and Cons},
author = {García-Medina, J., E-mail: josegmedina57@gmail.com and García-Alfonso, J. J., E-mail: juanjozarandieta@gmail.com},
abstractNote = {PurposeTo describe the benefits and the disadvantages of angioplasty in dialysis fistulas using only ultrasound guidance.Materials and MethodsThis is a prospective study in 132 failing or non-maturing arteriovenous accesses that underwent 189 ultrasound-guided balloon angioplasties. The technical success was defined as non-use of X-ray fluoroscopy during the procedure.Results127 procedures (67%) were successfully completed without fluoroscopy. Most failures were due to difficulty to traverse aneurismal segments, as well as anastomotic stenoses. Including initial failures, the primary patency rates at 6, 12 months and 2 years were 75 ± 3, 41 ± 3 and 14 ± 2%, respectively.ConclusionEndovascular repair of the dysfunctional vascular access for haemodialysis under ultrasound guidance is feasible and safe in roughly two-thirds of cases.},
doi = {10.1007/S00270-016-1541-9},
journal = {Cardiovascular and Interventional Radiology},
number = 5,
volume = 40,
place = {United States},
year = {Mon May 15 00:00:00 EDT 2017},
month = {Mon May 15 00:00:00 EDT 2017}
}