FOLLOW-UP RESULTS AFTER STENT PLACEMENT IN FAILING ARTERIOVENOUS SHUNTS - A 3-YEAR EXPERIENCE

被引：24

作者：

VORWERK, D

GUNTHER, RW

BOHNDORF, K

KISTLER, D

GLADZIWA, U

SIEBERTH, HG

机构：

[1] Department of Diagnostic Radiology, Technical University of Aachen

[2] Klinik für Radiologische Diagnostik, RWTH Aachen, Aachen

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1991年 / 14卷 / 05期

关键词：

HEMODIALYSIS FISTULAS; ARTERIOVENOUS SHUNTS; VASCULAR ENDOPROSTHESES; STENTS;

D O I：

10.1007/BF02578451

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Self-expandable endoprostheses were used in 18 failing arteriovenous shunts after unsuccessful balloon dilatation. Technical success was satisfactory with an early patency in 17 of 18 shunts. Thrombosis right after stenting occurred in three shunts but was successfully treated in two. Follow-up history revealed recurrent events of reobstruction due either to stent or shunt stenoses or thrombosis. Restenosis within the stented segment was responsible for reobstruction in about half the cases. Although patency was low with 27% at 18-month follow-up, repeated intervention established a shunt survival rate of 77% at 18-month follow-up. Stent placement in AV shunts is useful for overcoming acute problems of ballon dilatation but does not prevent restenosis.

引用

页码：285 / 289

页数：5

共 21 条

[1]

Keller F., Loewe H., Bauknecht K., Schwarz A., Offermann G., Kumulative Funktionsraten von orthotopen Dialysefisteln und Interponaten, Dtsch Med Wschr, 113, pp. 332-336, (1988)

[2]

Palder S., Kirkman R., Whittemore A., Hakim R., Lazarus M., Tilney N., Vascular access for hemodialysis. Patency rates and results of revision, Ann Surg, 202, pp. 235-239, (1985)

[3]

Gmelin E., Karnel F., Radiologische Rekanalisation von Venen, Gefässprothesen und Arterien bei insuffizienten Dialysefisteln, Fortschr Röntgenstr, 153, pp. 432-437, (1990)

[4]

Dotter C.T., Transluminally placed coilspring endarterial tube grafts: Long-term patency in canine popliteal artery, Invest Radiol, 4, pp. 329-332, (1969)

[5]

Glanz S., Gordon D., Butt K., Hong J., Lipkowitz K., The role of percutaneous angioplasty in the management of chronic hemodialysis fistulae, Ann Surg, 206, pp. 777-781, (1987)

[6]

Gunther R.W., Vorwerk D., Bohndorf K., Klose K.C., Kistler D., Mann H., Sieberth H., El-Din A., Venous stenoses in dialysis shunts: treatment with self-expanding metallic stents, Radiology, 170, pp. 401-405, (1989)

[7]

Vorwerk D., Gunther R.W., Bohndorf K., Kistler D., Handt S., Mann H., Sieberth H., Perkutane vaskuläre Endoprothesen als Ergänzung zur Ballondilatation von okkludierten und stenosierten Hämodialyseshunts, Dtsche Med Wschr, 115, pp. 43-47, (1990)

[8]

Kistler D., Bohndorf K., Gunther R.W., Kombiniert chirurgisch-radiologisches Vorgehen beim Verschluß eines Hämodialyseshunts, Chirurg, 61, pp. 84-86, (1990)

[9]

Smith T.P., Cragg A., Castaneda F., Hunter D., Thrombosed polytetrafluoroethylene hemodialysis fistulas: Salvage with combined thrombectomy and angioplasty, Radiology, 171, pp. 507-508, (1980)

[10]

Cada E., Karnel F., Mayer G., Langle F., Schurawitzki H., Graf H., Percutaneous transluminal angioplasty of failing arteriovenous dialysis fistulae, Nephrol Dial Transplant, 4, pp. 57-61, (1989)

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