2015
DOI: 10.1016/j.jvir.2015.03.005
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Effect of Central Venous Angioplasty on Hemodialysis Access Circuit Flow: Prospective Study of 25 Symptomatic Patients

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Cited by 11 publications
(11 citation statements)
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“…As has been previously reported by some 14 but not all 13 investigators, PTA of central vein stenosis lesions had no significant effect on AVF Qa in our patients in whom the clinical indication was ipsilateral extremity edema ( Figure 3(d)). We attribute this finding to the development of alternative draining collateral veins in association with highgrade central venous stenosis.…”
Section: Discussionsupporting
confidence: 87%
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“…As has been previously reported by some 14 but not all 13 investigators, PTA of central vein stenosis lesions had no significant effect on AVF Qa in our patients in whom the clinical indication was ipsilateral extremity edema ( Figure 3(d)). We attribute this finding to the development of alternative draining collateral veins in association with highgrade central venous stenosis.…”
Section: Discussionsupporting
confidence: 87%
“…Thus, a decision for intervention should be made based upon the interventionalist's clinical judgment of the relevance of the anatomical derangement to the presenting clinical signs and symptoms. In order to do this, the interventionalist needs to have insight into which stenosis may be a flow-limiting lesion, 3,5,6,9,14 and what changes in Qa would be expected from an intervention on such a stenosis. To assist the interventionalist in these endeavors, we used our findings to develop GLMs that can be used to best predict the change in Qa following PTA on any given stenosis.…”
Section: Discussionmentioning
confidence: 99%
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“…However, balloon dilation should be performed only if there is a clinical indication such as arm or face swelling. Several studies have reported that balloon dilation for a narrowed lesion found incidentally on angiogram and without symptoms accelerates lesion growth [1517].…”
Section: Treatmentmentioning
confidence: 99%
“…As a result, ultrasound has emerged as a noninvasive, inexpensive, and important imaging alternative, particularly in those patients in whom an abnormality is not certain, and to evaluate the etiology of perigraft masses. It should be noted that if no stenosis is found by ultrasound in a patient with a high suspicion of stenosis, magnetic resonance venography (MRV), or diagnostic fistulogram may be useful, particularly to exclude a central stenosis .…”
Section: Arteriovenous Graftsmentioning
confidence: 99%