Retrograde catheterization of haemodialysis fistulae and grafts: angiographic depiction of the entire vascular access tree and stenosis treatment

Duijm, Luciën E. M.; Overbosch, E. H.; Liem, Ylian S.; Planken, R. Nils; Tordoir, Jan H.M.; Cuypers, Philippe W.M.; Douwes-Draaijer, Petra; Haan, Michiel W. de

doi:10.1093/ndt/gfn526

Cited by 15 publications

(12 citation statements)

References 36 publications

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“…This untoward phenomenon may be explained by the presence of a stenotic brachial artery coupled with an unusual high origin of the radial artery. Arterial stenoses or occlusions are universally found in adult hemodialysis patients and are mostly due to diabetes mellitus and progressive atherosclerosis [5,6]. In contrast, stenotic arterial disease during early childhood is rare.…”

Section: Discussionmentioning

confidence: 99%

Retarded hand growth due to a hemodialysis fistula in a young girl

et al. 2009

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Long-term presence of an arteriovenous hemodialysis fistula (AVF) may lead to alterations in hand perfusion. In the case reported here, a 14-year-old girl developed pain associated with hand ischemia 5 years after a successful kidney transplantation. At age 8 years, she required a period of hemodialysis using an autogenous left upper arm AVF. Compared to the healthy right hand, a smaller ischemic left hand was observed in the presence of a patent AVF. Access flow was 1400 ml/min. Seldinger angiography demonstrated a stenotic brachial artery, and duplex measurements indicated a reversed blood flow in the radial artery. AVF ligation abolished the ischemic symptoms. Distal hypotension due to an impaired arterial inflow combined with a low resistance elbow AVF may result in chronic hypoperfusion of acral portions of the extremity and growth retardation. Access ligation is advised in children with an optimal renal transplant function and a patent elbow AVF suffering from lowered distal tissue perfusion.

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Section: Discussionmentioning

confidence: 99%

Retarded hand growth due to a hemodialysis fistula in a young girl

et al. 2009

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“…In contrast, stenosis on the arterial side has been reported to occur in only a minority (0–4%) of patients (7,8,15–17). Recent data has suggested a significantly higher incidence of arterial stenosis in patients with arteriovenous access (AVGs, AVFs) (9–13). Asif et al.…”

Section: Arterial Stenosis and Arteriovenous Accessmentioning

confidence: 99%

“…In an elegant study, Duijm et al. (12) have addressed the previously mentioned limitation of arterial evaluation. One hundred sixty‐six patients were included in this analysis.…”

Section: Arterial Stenosis and Arteriovenous Accessmentioning

confidence: 99%

“…Indeed, Duijm et al. (12) have emphasized that imaging of the entire inflow should at least be considered for the accesses that demonstrate lack of blood flow augmentation after a technically successful intervention of anastomotic or outflow stenosis.…”

Section: Arterial Stenosis and Arteriovenous Accessmentioning

confidence: 99%

“…Stenotic lesions can occur anywhere within this system and, when present, can limit the forward flow. Several recent studies have evaluated the presence of stenoses within the arteries of the arm bearing a vascular access (9)(10)(11)(12)(13)(14). Collectively, these studies have emphasized the importance of arterial stenoses and their impact on patient care.…”

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confidence: 99%

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ASDIN: Arterial Interventions in Arteriovenous Access and Chronic Kidney Disease: A Role for Interventional Nephrologists

Yevzlin

Schoenkerman

Gimelli

et al. 2009

Seminars in Dialysis

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The past decade has witnessed an evolution of the specialty of Nephrology in the United States to an interventional discipline. Traditionally, Interventional Nephrologists have focused on the venous side of an arteriovenous access. However, these specialists are beginning to include arterial disease related to renal patients under the purview of this specialty. Recent data have emphasized that inflow stenosis of an arteriovenous access frequently results in vascular access dysfunction. Peripheral vascular disease, resulting in distal hypoperfusion ischemia syndrome of the hand bearing the access, is similarly being recognized and managed more frequently by these experts. Two distinct entities, subclavian artery and renal artery stenosis, are also being addressed by interventional nephrologists. This article focuses on arterial interventions performed by interventional nephrologists and describes the epidemiology, techniques, and outcomes of arterial intervention as they relate to the care of patients with hemodialysis access and chronic kidney disease.

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Arterial Stenosis Affecting Arteriovenous Fistulae and Grafts in Hemodialysis Patients: Approach to Diagnosis and Management

Covarrubias

Tan

2013

Interventional Nephrology

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Retrograde catheterization of haemodialysis fistulae and grafts: angiographic depiction of the entire vascular access tree and stenosis treatment

Cited by 15 publications

References 36 publications

Retarded hand growth due to a hemodialysis fistula in a young girl

Retarded hand growth due to a hemodialysis fistula in a young girl

ASDIN: Arterial Interventions in Arteriovenous Access and Chronic Kidney Disease: A Role for Interventional Nephrologists

Arterial Stenosis Affecting Arteriovenous Fistulae and Grafts in Hemodialysis Patients: Approach to Diagnosis and Management

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