Outcome of the Use of Stent Grafts to Salvage Failed Arteriovenous Accesses

Evaluating and treating venous outflow stenoses is necessary for the successful open surgical treatment of arteriovenous fistula aneurysms

“…Despite intermittent success with SG placement, the use of SGs in the management of AVF complications persists. 4 Webb et al 11 reported the use of SGs for the treatment AVF complications and documented a 6-month patency of <30%. In addition, they concluded that based on the Kidney Disease Outcomes Quality Initiative Clinical Practice Guidelines, the use of SGs to treat access complications failed to meet the benchmark established for percutaneous interventions of 40% patency at 6 months.…”

“…In addition, they concluded that based on the Kidney Disease Outcomes Quality Initiative Clinical Practice Guidelines, the use of SGs to treat access complications failed to meet the benchmark established for percutaneous interventions of 40% patency at 6 months. 11 In contrast to the endovascular approach, OLA is suitable for almost all AVFAs.…”

New hybrid procedures in treating occluded arteriovenous hemodialysis grafts

“…He reported that after 6 months, primary patency of the intervention area was only 29%. Indications for stent graft were recoil after performed PTA after repeated angiointerventions, or in case of rupture after angioplasty 9 . Stent graft implantation was performed as a last effort to save this dialysis access route.…”

Successful tunneled catheter placement in a hemodialysis patient with idiopathic multiple central venous stenoses

“…Treatment options for CVS include percutaneous balloon angioplasty, stents, and surgical bypass . Percutaneous balloon angioplasty is recommended as the preferred therapy, while whether a stent should be simultaneously placed is still under debate . It is worth mentioning that in CVS due to extrinsic compression, angioplasty alone may not be adequate for treatment and stent placement may be required .…”

“…9 Percutaneous balloon angioplasty is recommended as the preferred therapy, while whether a stent should be simultaneously placed is still under debate. 16 It is worth mentioning that in CVS due to extrinsic compression, angioplasty alone may not be adequate for treatment and stent placement may be required. 6 For idiopathic CVS not secondary to any known reasons, we believe this is the first case reported to be successfully dilated with interventional angioplasty, followed by implantation of tunneled catheter as permanent hemodialysis access.…”