Interventional radiology in hemodialysis fistulae and grafts: a multidisciplinary approach

Cardiovascular and Interventional Radiology
L Turmel-RodriguesP Bourquelot

Abstract

To review the place of interventional radiology in arteriovenous access for hemodialysis. Prophylactic dilation of stenoses greater than 50% associated with clinical abnormalities such as flow-rate reduction is warranted to prolong access patency. Stents are placed only in selected cases with clearly insufficient results of dilation but they must never overlap major side veins and obviate future access creation. Thrombosed fistulae and grafts can be declotted by purely mechanical methods or in combination with a lytic drug. The success rates are over 90% for dilation, with frequent resort to stents in central veins. Long-term results in the largest series are better in forearm native fistulae compared with grafts (best 1-year primary patency: 51% versus 40%). The success rates for declotting are better in grafts compared with forearm fistulae but early rethrombosis is frequent in grafts so that primary patency rates can be better for native fistulae from the first month's follow-up (best 1-year primary patency: 49% versus 26%). Radiology achieves results comparable with surgery, with minimal invasiveness and better venous preservation. However, wide variations in the results suggest that the degree of commitment of physicians m...Continue Reading

Citations

Aug 11, 2005·Cardiovascular and Interventional Radiology·Dagmar HonnefPatrick Haage
Dec 31, 2008·Cardiovascular and Interventional Radiology·Peter LittlerSteven Powell
Aug 6, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Nicola TessitoreGiuseppe Maschio
Apr 26, 2003·European Journal of Radiology·M Surlan, P Popovic
Jun 5, 2003·Artificial Organs·Luc Turmel-Rodrigues, Pierre Bourquelot
Mar 11, 2004·Seminars in Vascular Surgery·Richard F NevilleAnton N Sidawy
Mar 1, 2007·Seminars in Interventional Radiology·Brian Funaki
Sep 20, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Josè Garcia MedinaGracia Alvarez
Feb 12, 2005·Nephrology·David Ma Francis
Nov 24, 2007·Seminars in Dialysis·Kaveh Kian, Arif Asif
Jul 13, 2012·Seminars in Dialysis·Kausik UmanathJamie P Dwyer
Jun 3, 2010·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Liliana BrionesMarta Adragna
May 30, 2003·Radiology·Luc A Turmel-RodriguesJosette Pengloan
Dec 24, 2013·Annals of Vascular Surgery·Alexandros MalliosWilliam C Jennings
Jan 11, 2014·Journal of Vascular and Interventional Radiology : JVIR·Yan YanScott O Trerotola
Jun 19, 2013·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Shawn P Fojtik, Larry S Kronick
Dec 12, 2012·Seminars in Nephrology·Rachid Daoui, Arif Asif
Dec 15, 2010·Clinical Radiology·C L BentM B Matson
Jul 15, 2015·Cardiovascular and Interventional Radiology·Rachael O Forsythe, Eric S Chemla
Aug 16, 2003·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Luc Turmel-Rodrigues
Aug 16, 2003·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Bernd Stegmayr, Ann Marie Wikdahl
Nov 7, 2014·Cardiovascular and Interventional Radiology·Christopher SchmelterDierk Vorwerk
Mar 4, 2014·International Journal of Vascular Medicine·Ioannis BountourisMartin Malina
Aug 25, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F KarakayaliM Haberal
Jun 27, 2006·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Huei-Lung LiangChien-Fang Yang
Jul 8, 2005·Cardiovascular and Interventional Radiology·Sung Wook ShinIn-Wook Choo
Oct 28, 2006·Angiology·Giovanni NanoDomenico G Tealdi
Nov 6, 2013·The Journal of Vascular Access·Nicola PirozziMélanie Hanoy
Jul 6, 2014·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Petr BachledaLucie Kalinova
Jul 13, 2005·Cardiovascular and Interventional Radiology·Antonio BasileMariaTeresa Patti
Mar 23, 2006·The Journal of Vascular Access·C C GilM A Ferreira
Dec 7, 2018·The Journal of Vascular Access·Jin Ho KimDeuk Jae Sung
May 23, 2018·International Journal of Vascular Medicine·Ioannis BountourisKonstantinos Ioannis Avgerinos
May 6, 2021·The Journal of Vascular Access·Ittikorn SpanuchartBharat Sachdeva
Nov 14, 2002·Seminars in Nephrology·Neenoo Khosla, Shubhada N Ahya

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