A patent vascular access is the lifeline of end-stage renal disease patients depending on hemodialysis treatment. Once a functioning vascular access has been established, maintaining its patency is of utmost importance. During the last decades percutaneous techniques became increasingly important for the treatment of hemodialysis vascular access graft failure. In this review, the role of percutaneous balloon angioplasty and stent implantation is evaluated for different clinical scenarios, based on the available evidence.
Aruny JE, Lewis CA, Cardella JF, et al.; Society of Interventional Radiology Standards of Practice Committee.Quality improvement guidelines for percutaneous management of the thrombosed or dysfunctional dialysis access.J Vasc Interv Radiol.2003; 14(9 Pt 2): S247–S253.
ChoudhuryD., LeeJ., EliveraH.S., BallD., RobertsA.B., AhmedZ.Correlation of venography, venous pressure, and hemoaccess function.Am J Kidney Dis.1995; 25(2): 269–275.
4.
KantermanR.Y., VeselyT.M., PilgramT.K., GuyB.W., WindusD.W., PicusD.Dialysis access grafts: anatomic location of venous stenosis and results of angioplasty.Radiology.1995; 195(1): 135–139.
5.
SukhatmeV.P.Vascular access stenosis: prospects for prevention and therapy.Kidney Int.1996; 49(4): 1161–1174.
6.
PaulsonW.D., MoistL., LokC.E.Vascular access surveillance: case study of a false paradigm.Semin Dial.2013; 26(3): 281–286.
7.
MoistL.M., ChurchillD.N., HouseA.A.Regular monitoring of access flow compared with monitoring of venous pressure fails to improve graft survival.J Am Soc Nephrol.2003; 14(10): 2645–2653.
8.
PolkinghorneK.R.Vascular access surveillance: time to end the controversy.Semin Dial.2013; 26(3): 257–259.
SmitsH.F., SmitsJ.H., WüstA.F., BuskensE., BlankestijnP.J.Percutaneous thrombolysis of thrombosed haemodialysis access grafts: comparison of three mechanical devices.Nephrol Dial Transplant.2002; 17(3): 467–473.
14.
Vascular Access 2006 Work Group.Clinical practice guidelines for vascular access.Am J Kidney Dis.2006; 48(Suppl 1): S176–S247.
15.
NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update 2000.Am J Kidney Dis.2001; 37(1)(Suppl 1): S137–S181.
16.
AsifA., GadaleanF.N., MerrillD.Inflow stenosis in arteriovenous fistulas and grafts: a multicenter, prospective study.Kidney Int.2005; 67(5): 1986–1992.
17.
DuijmL.E., OverboschE.H., LiemY.S.Retrograde catheterization of haemodialysis fistulae and grafts: angiographic depiction of the entire vascular access tree and stenosis treatment.Nephrol Dial Transplant.2009; 24(2): 539–547.
18.
DuijmL.E., LiemY.S., van der RijtR.H.Inflow stenoses in dysfunctional hemodialysis access fistulae and grafts.Am J Kidney Dis.2006; 48(1): 98–105.
19.
KhanF.A., VeselyT.M.Arterial problems associated with dysfunctional hemodialysis grafts: evaluation of patients at high risk for arterial disease.J Vasc Interv Radiol.2002; 13(11): 1109–1114.
20.
YevzlinA.S., SchoenkermanA.B., GimelliG., AsifA.Arterial interventions in arteriovenous access and chronic kidney disease: a role for interventional nephrologists.Semin Dial.2009; 22(5): 545–556.
21.
HadjipetrouP., CoxS., PiemonteT., EisenhauerA.Percutaneous revascularization of atherosclerotic obstruction of aortic arch vessels.J Am Coll Cardiol.1999; 33(5): 1238–1245.
22.
AsifA., LeonC., MerrillD.Arterial steal syndrome: a modest proposal for an old paradigm.Am J Kidney Dis.2006; 48(1): 88–97.
23.
ValjiK., HyeR.J., RobertsA.C., OglevieS.B., ZieglerT., BooksteinJ.J.Hand ischemia in patients with hemodialysis access grafts: angiographic diagnosis and treatment.Radiology.1995; 196(3): 697–701.
24.
GuerraA., RaynaudA., BeyssenB., PagnyJ.Y., SapovalM., AngelC.Arterial percutaneous angioplasty in upper limbs with vascular access devices for haemodialysis.Nephrol Dial Transplant.2002; 17(5): 843–851.
25.
TordoirJ.H., DammersR., van der SandeF.M.Upper extremity ischemia and hemodialysis vascular access.Eur J Vasc Endovasc Surg.2004; 27(1): 1–5.
26.
MarstonW.A., CriadoE., JaquesP.F., MauroM.A., BurnhamS.J., KeagyB.A.Prospective randomized comparison of surgical versus endovascular management of thrombosed dialysis access grafts.J Vasc Surg.1997; 26(3): 373–380, discussion 380-381.
27.
DoughertyM.J., CalligaroK.D., SchindlerN., RaviolaC.A., NtosoA.Endovascular versus surgical treatment for thrombosed hemodialysis grafts: a prospective, randomized study.J Vasc Surg.1999; 30(6): 1016–1023.
28.
BeathardG.A.Percutaneous transvenous angioplasty in the treatment of vascular access stenosis.Kidney Int.1992; 42(6): 1390–1397.
29.
Turmel-RodriguesL., PengloanJ., BlanchierD.Insufficient dialysis shunts: improved long-term patency rates with close hemodynamic monitoring, repeated percutaneous balloon angioplasty, and stent placement.Radiology.1993; 187(1): 273–278.
30.
VorwerkD., GuentherR.W., MannH.Venous stenosis and occlusion in hemodialysis shunts: follow-up results of stent placement in 65 patients.Radiology.1995; 195(1): 140–146.
31.
BeathardG.A.Gianturco self-expanding stent in the treatment of stenosis in dialysis access grafts.Kidney Int.1993; 43(4): 872–877.
32.
ClarkT.W.Nitinol stents in hemodialysis access.J Vasc Interv Radiol.2004; 15(10): 1037–1040.
33.
VogelP.M., PariseC.Comparison of SMART stent placement for arteriovenous graft salvage versus successful graft PTA.J Vasc Interv Radiol.2005; 16(12): 1619–1626.
34.
HaskalZ.J., TrerotolaS., DolmatchB.Stent graft versus balloon angioplasty for failing dialysis-access grafts.N Engl J Med.2010; 362(6): 494–503.
35.
KwaA.T., YeoK.K., LairdJ.R.The role of stent-grafts for prevention and treatment of restenosis.J Cardiovasc Surg (Torino).2010; 51(4): 579–589.
36.
VeselyT.M., AminM.Z., PilgramT.Use of stents and stent grafts to salvage angioplasty failures in patients with hemodialysis grafts.Semin Dial.2008; 21(1): 100–104.
37.
PatelR.I., PeckS.H., CooperS.G.Patency of Wallstents placed across the venous anastomosis of hemodialysis grafts after percutaneous recanalization.Radiology.1998; 209(2): 365–370.
38.
DolmatchB.L., DuchJ.M., WinderR.Salvage of angioplasty failures and complications in hemodialysis arteriovenous access using the FLUENCY Plus Stent Graft: technical and 180-day patency results.J Vasc Interv Radiol.2012; 23(4): 479–487.
39.
KakisisJ.D., AvgerinosE., GiannakopoulosT., MoulakakisK., PapapetrouA., LiapisC.D.Balloon angioplasty vs nitinol stent placement in the treatment of venous anastomotic stenoses of hemodialysis grafts after surgical thrombectomy.J Vasc Surg.2012; 55(2): 472–478.
40.
KarnabatidisD., KitrouP., SpiliopoulosS.Stent-grafts versus angioplasty and/or bare metal stents for failing arteriovenous grafts: a cross-over longitudinal study.J Nephrol.2013; 26(2): 389–395.
41.
VeselyT. Abstract presented at the 10th Annual Scientific Meeting of the American Society of Diagnostic and Interventional Nephrology, 2014.
42.
HaskalZ.J. Twelve month results of the RENOVA trial: A prospective multicenter randomized, concurrently-controlled comparison of the Flair endovascular stent graft vs. balloon angioplasty in dialysis access grafts. Journal of Vascular and Interventional Radiology Conference, 38th Annual Scientific Meeting of the Society of Interventional Radiology, SIR 2013, New Orleans, 2013.
DammersR., de HaanM.W., PlankenN.R., van der SandeF.M., TordoirJ.H.Central vein obstruction in hemodialysis patients: results of radiological and surgical intervention.Eur J Vasc Endovasc Surg.2003; 26(3): 317–321.
45.
GrayR.J., HortonK.M., DolmatchB.L.Use of Wallstents for hemodialysis access-related venous stenoses and occlusions untreatable with balloon angioplasty.Radiology.1995; 195(2): 479–484.
46.
VeselyT.M., HovsepianD.M., PilgramT.K., CoyneD.W., ShenoyS.Upper extremity central venous obstruction in hemodialysis patients: treatment with Wallstents.Radiology.1997; 204(2): 343–348.
47.
HaageP., VorwerkD., PirothW., SchuermannK., GuentherR.W.Treatment of hemodialysis-related central venous stenosis or occlusion: results of primary Wallstent placement and follow-up in 50 patients.Radiology.1999; 212(1): 175–180.
48.
BakkenA.M., ProtackC.D., SaadW.E., LeeD.E., WaldmanD.L., DaviesM.G.Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients.J Vasc Surg.2007; 45(4): 776–783.
49.
KunduS.Review of central venous disease in hemodialysis patients.J Vasc Interv Radiol.2010; 21(7): 963–968.
50.
VerstandigA.G., BerelowitzD., ZaghalI.Stent grafts for central venous occlusive disease in patients with ipsilateral hemodialysis access.J Vasc Interv Radiol.2013; 24(9): 1280–1287, quiz 1288.
51.
Turmel-RodriguesL., BourquelotP., RaynaudA., SapovalM.Primary stent placement in hemodialysis-related central venous stenoses: the dangers of a potential “radiologic dictatorship”.Radiology.2000; 217(2): 600–602.
52.
ModabberM., KunduS.Central venous disease in hemodialysis patients: an update.Cardiovasc Intervent Radiol.2013; 36(4): 898–903.
53.
JonesR.G., WillisA.P., JonesC., McCaffertyI.J., RileyP.L.Long-term results of stent-graft placement to treat central venous stenosis and occlusion in hemodialysis patients with arteriovenous fistulas.J Vasc Interv Radiol.2011; 22(9): 1240–1245.
54.
QuinnS.F., KimJ., SheleyR.C.Transluminally placed endovascular grafts for venous lesions in patients on hemodialysis.Cardiovasc Intervent Radiol.2003; 26(4): 365–369.
55.
Anaya-AyalaJ.E., SmolockC.J., ColvardB.D.Efficacy of covered stent placement for central venous occlusive disease in hemodialysis patients.J Vasc Surg.2011; 54(3): 754–759.
56.
DaleJ.D., DolmatchB.L., DuchJ.M., WinderR., DavidsonI.J.Expanded polytetrafluoroethylene-covered stent treatment of angioplasty-related extravasation during hemodialysis access intervention: technical and 180-day patency.J Vasc Interv Radiol.2010; 21(3): 322–326.
