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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
- 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 (
- Subjects :
- Male
medicine.medical_treatment
Constriction, Pathologic
030204 cardiovascular system & hematology
Balloon
030218 nuclear medicine & medical imaging
Graft Occlusion
0302 clinical medicine
Surgical
Nuclear Medicine and Imaging
80 and over
Prospective Studies
Outflow stenoses
Aged, 80 and over
medicine.diagnostic_test
Graft Occlusion, Vascular
Arteriovenous Shunt
Interventional radiology
General Medicine
Middle Aged
Combined Modality Therapy
Constriction
Treatment Outcome
Paclitaxel-coated balloon
Hemodialysis arteriovenous shunt
Adult
Aged
Arteriovenous Shunt, Surgical
Female
Humans
Paclitaxel
Renal Dialysis
Vascular Patency
Angioplasty, Balloon
Radiology, Nuclear Medicine and Imaging
Hemodialysis
Radiology
medicine.symptom
medicine.medical_specialty
Asymptomatic
03 medical and health sciences
Vascular
Angioplasty
medicine
Radiology, Nuclear Medicine and imaging
Pathologic
business.industry
medicine.disease
Surgery
Stenosis
Cutting balloon
business
Subjects
Details
- ISSN :
- 18266983 and 00338362
- Volume :
- 122
- Database :
- OpenAIRE
- Journal :
- La radiologia medica
- Accession number :
- edsair.doi.dedup.....7ec3aff231837fe403e985af78d86b2a