Ultrasound-guided angioplasty of dialysis fistula – technique description

Bojakowski, Krzysztof; Góra, Rafał; Szewczyk, Dariusz; Andziak, Piotr

doi:10.12659/pjr.889524

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…In our clinic, for peripheral stenotic lesions such as JAS or OS, the choice of treatment modality such as UG-PTA or C-PTA depends on the availability of machine. In comparison to C-PTA, some technical points were considered [ 5 ]. While advancing the guide wire, the guide wire tip was closely monitored.…”

Section: Discussionmentioning

confidence: 99%

“…While advancing the guide wire, the guide wire tip was closely monitored. The main problem associated with performing UG-PTA is the risk of introducing the guide wire too deep or too shallow, which may result in vein damage or prevent completion of the procedure [ 5 ]. As a branching point, a steerable guide wire and/or a directional angiocatheter were used.…”

Section: Discussionmentioning

confidence: 99%

“…As a branching point, a steerable guide wire and/or a directional angiocatheter were used. In a very tight stenosis area or in an acute angle anastomotic area, guide wire passage may be difficult and guidewire stuffing using an angiocatheter is required to place the guidewire at the appropriate site [ 5 ]. On balloon expansion, the area was easily marked by the balloon.…”

Section: Discussionmentioning

confidence: 99%

“…On balloon expansion, the area was easily marked by the balloon. Use of ultrasonography for visualization of stenosis also allows for precise fitting of balloon diameter to the diameter of the fistula [ 5 ]. A serious complication of endovascular treatment is vessel rupture following dilatation and extravascular blood leakage [ 2 – 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Clinical experience with ultrasound guided angioplasty for vascular access

Cho

Lee

Kim

2017

Kidney Res Clin Pract.

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BackgroundThe use of ultrasound guided percutaneous transluminal angioplasty (UG-PTA), which use ultrasound as an imaging modality, is an evolving strategy. But, in Korea, this method is rarely used. We report our experiences with UG-PTA with respect to technical success rates and complication rates compared to conventional PTA (C-PTA), performed between 2010 and 2015 at Samsung Changwon Hospital, Korea.MethodsIn our series, 53 cases of UG-PTA and 90 cases of C-PTA were reviewed, respectively. Cases of central vein stenosis, cephalic arch stenosis, arterial stenosis and thrombosis were excluded. However, cases of juxta-anastomotic stenosis and outflow vein stenosis were included.ResultsTechnical success was achieved in 96.2% (51 of 53) of cases in the UG-PTA group and in 93.3% (84 of 90) of cases in the C-PTA group, respectively (P = 0.710). Technical failure was experienced in a total 8 cases (UG-PTA group: 2/53, 3.8%; C-PTA group: 6/90, 6.7%). No differences were observed in complications.ConclusionDuplex ultrasound-guided angioplasty for dialysis access in the outpatient setting is feasible, safe, and effective for peripheral venous stenotic lesions. It offers many advantages over conventional angiographic procedures, and, in the future, it has great potential to play a significant role in the management of these challenging patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical experience with ultrasound guided angioplasty for vascular access

Cho

Lee

Kim

2017

Kidney Res Clin Pract.

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“…Dealing with hemodialysis access complications and restoring its normal function could be done either with open surgery or endovascular procedures. The most efficacious technique for access salvage is still unknown (2). So, we design this study to assess the success rate of salvage surgical intervention of acutely thrombosed arteriovenous fistula.…”

Section: Introductionmentioning

confidence: 99%

Success Rate of Salvage Surgical Intervention of Acutely Thrombosed Arteriovenous Fistula in Hemodialysis Patients

Elyamany

Mohamed

et al. 2020

Suez Canal University Medical Journal

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Background: Establishing and maintaining vascular access for hemodialysis in end stage renal disease (ESRD) patients are important prognostic factors for patient survival. The loss of vascular access, most frequently due to thrombosis, remains one of the most challenging obstacles in their long-term management. Success rate of surgical intervention of the vascular access in patients with acutely thrombosed arteriovenous fistulas (AVF) is still a controversial issue. Objective: To assess the success rate of salvage of acutely thrombosed arteriovenous fistula through surgical intervention. Patient and Methods: Uncontrolled clinical trial, was conducted over the period from November 2018 to `October 2019 on 52 patients with acute thrombosis of autogenous AVF in Suez Canal University Hospital. Patients were treated using open thrombectomy with or without surgical interventions as jump graft or re-insertion of anastomosis to correct juxta-anastomosis stenosis or re-anastomosis if needed regarding the cause. Results: The mean age was 51 +/-14 years. The cause of thrombosis was stenosis in 13 patients (25%). Surgical intervention was successful to regain immediate functioning AVF in 34 patients (65.4%). The secondary patency rate after intervention was more than 6 months in 29 patients (85.3%). Jump graft with surgical thrombectomy in treatment of stenosis as a cause of thrombosis was the highest rate success in 8 patients (88.9%). Conclusion: Intervention with different surgical modalities for acutely thrombosed AVFs is a safe and effective procedure in many cases. It is associated with good success rates, low complication rates, and maintained long-term patency of vascular access.

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Clinical Aspects of Dialysis Interventions: Physical and Sonographic Findings

Niyyar

Agarwal

Salman

2022

Semin intervent Radiol

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Physical examination (PE) of arteriovenous access remains of high clinical value and continues to be recommended by leading societies and guidelines. PE is easy to learn and perform. Once learned, examiners can provide a comprehensive arteriovenous (AV) access examination in 20 to 30 seconds. Therefore, we continue to advocate that AV access PE should be part of the training for all dialysis care providers. Similarly, ultrasound can provide important AV access evaluation and provide key information. It is relatively cheap and can be readily available at the bed side. Additionally, it is well accepted by patients, as it is not expected to be associated with pain or discomfort during the examination. We present in this review the key components of PE, signs and symptoms of AV access dysfunction, and the role of ultrasound in AV access evaluation as a complementary tool to PE.

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Ultrasound-guided angioplasty of dialysis fistula – technique description

Cited by 7 publications

References 10 publications

Clinical experience with ultrasound guided angioplasty for vascular access

Clinical experience with ultrasound guided angioplasty for vascular access

Success Rate of Salvage Surgical Intervention of Acutely Thrombosed Arteriovenous Fistula in Hemodialysis Patients

Clinical Aspects of Dialysis Interventions: Physical and Sonographic Findings

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