Gadolinium-Enhanced Digital Subtraction Angiography of Hemodialysis  Fistulas: A Diagnostic and Therapeutic Approach

Blanche, Alain-Ferdinand Le; Tassart, M.; Deux, Jean-François; Rossert, Jérôme; Bigot, Jean-Michel; Boudghene, F

doi:10.2214/ajr.179.4.1791023

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Magnetic Resonance Angiography (Mra)1

Digital Subtraction Angiography1

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Cited by 20 publications

(2 citation statements)

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“…CO 2 angiography has a sensitivity of 97% and a specificity of 85% in the evaluation of upper limb and central vein stenosis in comparison with conventional venography. 153 Due to the acceptable results of CO 2 angiography and the potential risk of NSF, gadolinium enhanced DSA 154 is no longer indicated. Figure 5 shows a proposed decision making algorithm for imaging.…”

Section: Magnetic Resonance Angiography (Mra)mentioning

confidence: 99%

Editor's Choice – Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)

Schmidli¹,

Widmer²,

Basile³

et al. 2018

European Journal of Vascular and Endovascular Surgery

625

622

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Section: Magnetic Resonance Angiography (Mra)mentioning

confidence: 99%

Editor's Choice – Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)

Schmidli¹,

Widmer²,

Basile³

et al. 2018

European Journal of Vascular and Endovascular Surgery

625

622

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“…Gadolinium-enhanced DSA is also an effective technique (15), but due to the potential risk of NSF, gadolinium-based contrast agents are no longer indicated in dialysis patients (5).…”

Section: Digital Subtraction Angiographymentioning

confidence: 99%

Radiological Assessment of Vascular access in Haemodialysis Patients

et al. 2014

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Clinical examination is still the most important diagnostic tool and duplex ultrasonography is the imaging method of first choice. Radiological assessment of vascular access for haemodialysis includes preoperative analysis of vessel anatomy and postoperative surveillance for access maturation as well as diagnosis in vascular access insufficiency. Compared to ultrasonography digital subtraction angiography is superior for the evaluation of the central veins and allows diagnosis and treatment in one session. Computed tomography should only be used in patients with inconclusive ultrasonography results, for example, for the assessment of the central veins and visualization of the vascular tree. Gadolinium-enhanced magnetic resonance imaging is no longer recommended in dialysis patients, because it may trigger nephrogenic systemic fibrosis. In patients with a history of previous central venous catheters additional preoperative imaging of the central veins should be performed. In this article we review the different radiological imaging methods for preoperative assessment and suspected vascular access dysfunction.

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Vascular access for hemodialysis

Canaud¹,

Desmeules²

2004

Replacement of Renal Function by Dialysis

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Gadolinium-Enhanced Digital Subtraction Angiography of Hemodialysis Fistulas: A Diagnostic and Therapeutic Approach

Abstract: Gadoterate-enhanced digital subtraction angiography is an effective and safe method to assess causes of malfunction of hemodialysis fistulas. It can also be used to plan and perform percutaneous transluminal angioplasty.

Cited by 20 publications

References 33 publications

Editor's Choice – Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)

Editor's Choice – Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)

Radiological Assessment of Vascular access in Haemodialysis Patients

Vascular access for hemodialysis

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