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Usefulness of paclitaxel-releasing high-pressure balloon associated with cutting balloon angioplasty for treatment of outflow stenoses of failing hemodialysis arteriovenous shunts

Authors :
Marco Franchin
Federico Fontana
Anna Maria Ierardi
Gabriele Piffaretti
Vittorio Miele
Massimo Tonolini
Ejona Duka
Gianpaolo Carrafiello
Matteo Tozzi
Source :
La radiologia medica. 122:69-76
Publication Year :
2016
Publisher :
Springer Science and Business Media LLC, 2016.

Abstract

To evaluate the technical and clinical success, primary patency (PP) and complications of angioplasty performed with paclitaxel-coated balloon (PCBs) associated with cutting balloon and for the treatment of the outflow stenoses of failing hemodialysis arteriovenous shunt. From September 2014 to September 2015, 50 patients with 66 stenoses were registered. Vascular accesses were autogenous (n = 20) and prosthetic (n = 30). Stenosis were documented during follow-up with routine echo-color Doppler, clinical evaluation and in the remaining incidentally during fistulography. Angioplasty was performed with cutting balloon and afterward with PCB. The mean follow-up time was 8 months (range 6–15 months). Technical success, clinical success, primary patency and complications were registered. Technical success was 100 %. Clinical success was 94.7 %. Primary patency rate was 87.7 %; in five patients, a significant re-stenosis (≥50 %) was registered. A residual asymptomatic stenosis (

Details

ISSN :
18266983 and 00338362
Volume :
122
Database :
OpenAIRE
Journal :
La radiologia medica
Accession number :
edsair.doi.dedup.....7ec3aff231837fe403e985af78d86b2a