Percutaneous transluminal angioplasty is the first treatment of a dysfunctional vascular access for hemodialysis. A case of stenting of a native arteriovenous hemodialysis fistula is reported that was treated with a stent placement at the anastomosis level, with explantation of the stent after complete thrombosis of the fistula 48 hours after the procedure. It is preferable to treat arteriovenous fistulas with simple balloon dilatation, avoiding stenting of the fistula, especially in the anastomosis site.
Get full access to this article
View all access options for this article.
References
1.
Pan HB, Liang HL, Chung HM, et al: Metallic stent placement for treating peripheral outflow lesions in native arteriovenous fistula hemodialysis patients after insufficient balloon dilatation. Am J Roentgenol184: 403-409, 2005.
2.
Beathard G: Percutaneous transvenous angioplasty in the treatment of vascular access stenosis. Kidney Int42: 1390-1397, 1992.
3.
Valji K, Bookstein J, Roberts A, et al: Pulse-spray pharmacomechanical access thrombolysis of thrombosed hemodialysis grafts: Long-term experience and comparison of original and current techniques. Am J Roentgenol164: 1495-1500, 1995.
4.
Gray RJ: Percutaneous intervention for permanent hemodialysis access: A review. J Vasc Interv Radiol8: 313-327, 1997.
5.
Turmel-Rodriques L, Pengloan J, Bourquelot P: Interventional radiology in hemodialysis fistulae and grafts: A multidisciplinary approach. Cardiovasc Intervent Radiol25: 3-16, 2002.
6.
Liang HL, Pan HB, Chung HM, et al: Restoration of thrombosed Brescia-Cimino dialysis fistulas by using percutaneous transluminal angioplasty. Radiology223: 339-344, 2002.
7.
Turmel-Rodrigues L, Pengloan J, Rodrigue H, et al: Treatment of failed native arterio-venous fistulae for hemodialysis by interventional radiology. Kidney Int57: 1124-1140, 2000.
8.
Patel RI, Peck SH, Cooper SG, et al: Patency of wall-stents placed across the venous anastomosis of hemodialysis graft after percutaneous recanalization. Radiology209: 365-370, 1998.
9.
Welber A, Schur I, Sofocleous CT, et al: Endovascular stent placement for angioplasty-induced venous rupture related to the treatment of hemodialysis grafts. J Vasc Interv Radiol10: 547-551, 1999.
10.
Funaki B, Swzymski G, Leef J, et al: Wallstent deployment to salvage dialysis graft thrombolysis complicated by venous rupture. Am J Roentgenol169: 1435-1437, 1997.
11.
Zaleski GX, Funaki B, Rosenblum J, et al: Metallic stent deployed in synthetic arteriovenous hemodialysis grafts. Am J Roentgenol176: 1515-1519, 2001.
12.
Gray RJ, Horton KM, Doimatch BL, et al: Use of wall-stent for hemodialysis access-related venous stenosis and occlusion untreatable with balloon angioplasty. Radiology195: 479-484, 1995.
13.
Petar B, Tomislav I, Miodrag I, et al: Streker stent in stenotic hemodialysis Brescia-Cimino arteriovenous fistulas. Cardiovasc Intervent Radiol15: 217-220, 1992.
14.
Antonucci F, Salomonowitz E, Stuckmann G, et al: Placement of venous stent: Clinical experience with a self-expandable prosthesis. Radiology183: 493-497, 1992.
15.
Farber A, Barbey MM, Grunert JH, et al: Access-related venous stenosis and occlusions: Treatment with percutaneous transluminal angioplasty and Dacron-covered stent. Cardiovasc Intervent Radiol22: 214-218, 1999.
16.
Vorwerk D, Guenther RW, Mann H, et al: Venous stenosis and occlusion in hemodialysis shunts: Follow-up results of stent placement in 65 patients. Radiology195: 140-146, 1995.
17.
Raynaud AC, Angel CY, Sapoval MR, et al: Treatment of hemodialysis access rupture during percutaneous transluminal angioplasty with Wallstent implantation. J Vasc Interv Radiol9: 437-442, 1998.
18.
Turmel-Rodrigues L, Blanchard D, Pengloan J, et al: Wallstents and Craggstents in hemodialysis graft and fistulas: Results for selective indications. J Vasc Interv Radiol8: 975-982, 1997.
19.
Turmel-Rodrigues L, Sapoval M, Pengloan J, et al: Manual thromboaspiration and dilatation of thrombosed dialysis access: Mid-term results of a simple concept. J Vasc Interv Radiol8: 813-824, 1997.
20.
Zaleski GX, Funaki B, Kenney S, et al: Angioplasty and bolus urokinase infusion for the restoration of function in the thrombosed Brescia-Cimino dialysis fistulas. J Vasc Interv Radiol10: 129-136, 1999.
21.
Patel RI, Peck SH, Cooper SG, et al: Patency of wall-stents placed across the venous anastomosis of hemodialysis grafts after percutaneous recanalization. Radiology195: 135-139, 1998.
