Angioplasty in the stenosed hemodialysis shunt: experiences with 100 patients and 166 interventions
Failing dialysis fistulas are a severe complication for patients treated by chronic haemodialysis. This study was undertaken to evaluate the technical aspects of percutaneous transluminal angioplasty (PTA) of shunts and to report on our experience in 100 patients. In a 4-year period a total of 166 P...
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| Veröffentlicht in: | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren 1998-07, Vol.169 (1), p.68-76 |
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| container_title | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren |
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| creator | Longwitz, D Pham, T H Heckemann, R G Hecking, E |
| description | Failing dialysis fistulas are a severe complication for patients treated by chronic haemodialysis. This study was undertaken to evaluate the technical aspects of percutaneous transluminal angioplasty (PTA) of shunts and to report on our experience in 100 patients.
In a 4-year period a total of 166 PTA procedures was performed in 100 haemodialysis patients with stenosis and occlusion of Brescia Cimino shunts and PTFE grafts (polytetrafluoroethylene). Patency rates were retrospectively evaluated for type and location of lesions, patient age, sex and the success of PTA.
Technical success was achieved in 97% (n = 161). Complications appeared in 11 cases (6.6%). Shunt occlusion or rupture of a vein is rare. The cumulative patency rate for primary PTA treatment was 55% at 6 months, 47% at 12 months and 32% at 24 months and for repeat PTA treatment 87% at 6 months, 80% at 12 months and 70% at 24 months. Residual stenosis and diabetes mellitus significantly reduced the patency rate.
PTA is an ideal method for accomplishing recurrent fistula failure due to its cost effectiveness and minimally invasive procedure. Recurrent stenosis has been a major problem of PTA as also in equal measure with surgical intervention. |
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In a 4-year period a total of 166 PTA procedures was performed in 100 haemodialysis patients with stenosis and occlusion of Brescia Cimino shunts and PTFE grafts (polytetrafluoroethylene). Patency rates were retrospectively evaluated for type and location of lesions, patient age, sex and the success of PTA.
Technical success was achieved in 97% (n = 161). Complications appeared in 11 cases (6.6%). Shunt occlusion or rupture of a vein is rare. The cumulative patency rate for primary PTA treatment was 55% at 6 months, 47% at 12 months and 32% at 24 months and for repeat PTA treatment 87% at 6 months, 80% at 12 months and 70% at 24 months. Residual stenosis and diabetes mellitus significantly reduced the patency rate.
PTA is an ideal method for accomplishing recurrent fistula failure due to its cost effectiveness and minimally invasive procedure. Recurrent stenosis has been a major problem of PTA as also in equal measure with surgical intervention.</description><identifier>ISSN: 1438-9029</identifier><identifier>PMID: 9711286</identifier><language>ger</language><publisher>Germany</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Angiography, Digital Subtraction ; Angioplasty, Balloon - instrumentation ; Angioplasty, Balloon - methods ; Angioplasty, Balloon - statistics & numerical data ; Arteriovenous Shunt, Surgical - adverse effects ; Arteriovenous Shunt, Surgical - statistics & numerical data ; Blood Vessel Prosthesis - adverse effects ; Blood Vessel Prosthesis - statistics & numerical data ; Constriction, Pathologic - diagnostic imaging ; Constriction, Pathologic - therapy ; Female ; Graft Occlusion, Vascular - diagnostic imaging ; Graft Occlusion, Vascular - therapy ; Humans ; Male ; Middle Aged ; Polytetrafluoroethylene ; Prognosis ; Radiography, Interventional ; Renal Dialysis ; Retrospective Studies</subject><ispartof>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren, 1998-07, Vol.169 (1), p.68-76</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9711286$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Longwitz, D</creatorcontrib><creatorcontrib>Pham, T H</creatorcontrib><creatorcontrib>Heckemann, R G</creatorcontrib><creatorcontrib>Hecking, E</creatorcontrib><title>Angioplasty in the stenosed hemodialysis shunt: experiences with 100 patients and 166 interventions</title><title>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</title><addtitle>Rofo</addtitle><description>Failing dialysis fistulas are a severe complication for patients treated by chronic haemodialysis. This study was undertaken to evaluate the technical aspects of percutaneous transluminal angioplasty (PTA) of shunts and to report on our experience in 100 patients.
In a 4-year period a total of 166 PTA procedures was performed in 100 haemodialysis patients with stenosis and occlusion of Brescia Cimino shunts and PTFE grafts (polytetrafluoroethylene). Patency rates were retrospectively evaluated for type and location of lesions, patient age, sex and the success of PTA.
Technical success was achieved in 97% (n = 161). Complications appeared in 11 cases (6.6%). Shunt occlusion or rupture of a vein is rare. The cumulative patency rate for primary PTA treatment was 55% at 6 months, 47% at 12 months and 32% at 24 months and for repeat PTA treatment 87% at 6 months, 80% at 12 months and 70% at 24 months. Residual stenosis and diabetes mellitus significantly reduced the patency rate.
PTA is an ideal method for accomplishing recurrent fistula failure due to its cost effectiveness and minimally invasive procedure. Recurrent stenosis has been a major problem of PTA as also in equal measure with surgical intervention.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography, Digital Subtraction</subject><subject>Angioplasty, Balloon - instrumentation</subject><subject>Angioplasty, Balloon - methods</subject><subject>Angioplasty, Balloon - statistics & numerical data</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Arteriovenous Shunt, Surgical - statistics & numerical data</subject><subject>Blood Vessel Prosthesis - adverse effects</subject><subject>Blood Vessel Prosthesis - statistics & numerical data</subject><subject>Constriction, Pathologic - diagnostic imaging</subject><subject>Constriction, Pathologic - therapy</subject><subject>Female</subject><subject>Graft Occlusion, Vascular - diagnostic imaging</subject><subject>Graft Occlusion, Vascular - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Polytetrafluoroethylene</subject><subject>Prognosis</subject><subject>Radiography, Interventional</subject><subject>Renal Dialysis</subject><subject>Retrospective Studies</subject><issn>1438-9029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkEtLxDAURrNQxnH0JwhZuSvk0ebhbhBfMOBm9iVpbm2kTWtvqs6_t-CsPjgczuK7IFteSlNYJuwVuUb8ZKxkXNoN2VjNuTBqS5p9-ojj1DvMJxoTzR1QzJBGhEA7GMYQXX_CiBS7JeUHCr8TzBFSA0h_Yu4oZ4xOLq8oI3UpUK7UWsowf68ojglvyGXreoTb8-7I8fnp-PhaHN5f3h73h2KqpCqc1kKBtp6ZsgpVaaQ0XnshSuaF4m0wuuEe2oZ5LaWwrZam4c5YANaGIOWO3P9np3n8WgBzPURsoO9dgnHBevW1LCu1indncfEDhHqa4-DmU30-Rf4BeuZdaA</recordid><startdate>199807</startdate><enddate>199807</enddate><creator>Longwitz, D</creator><creator>Pham, T H</creator><creator>Heckemann, R G</creator><creator>Hecking, E</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199807</creationdate><title>Angioplasty in the stenosed hemodialysis shunt: experiences with 100 patients and 166 interventions</title><author>Longwitz, D ; Pham, T H ; Heckemann, R G ; Hecking, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p536-a7726e79b0845d548338b7b2240b261fd87c1befc0b73329f738c1a89ee0fdd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiography, Digital Subtraction</topic><topic>Angioplasty, Balloon - instrumentation</topic><topic>Angioplasty, Balloon - methods</topic><topic>Angioplasty, Balloon - statistics & numerical data</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Arteriovenous Shunt, Surgical - statistics & numerical data</topic><topic>Blood Vessel Prosthesis - adverse effects</topic><topic>Blood Vessel Prosthesis - statistics & numerical data</topic><topic>Constriction, Pathologic - diagnostic imaging</topic><topic>Constriction, Pathologic - therapy</topic><topic>Female</topic><topic>Graft Occlusion, Vascular - diagnostic imaging</topic><topic>Graft Occlusion, Vascular - therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Polytetrafluoroethylene</topic><topic>Prognosis</topic><topic>Radiography, Interventional</topic><topic>Renal Dialysis</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Longwitz, D</creatorcontrib><creatorcontrib>Pham, T H</creatorcontrib><creatorcontrib>Heckemann, R G</creatorcontrib><creatorcontrib>Hecking, E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Longwitz, D</au><au>Pham, T H</au><au>Heckemann, R G</au><au>Hecking, E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Angioplasty in the stenosed hemodialysis shunt: experiences with 100 patients and 166 interventions</atitle><jtitle>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</jtitle><addtitle>Rofo</addtitle><date>1998-07</date><risdate>1998</risdate><volume>169</volume><issue>1</issue><spage>68</spage><epage>76</epage><pages>68-76</pages><issn>1438-9029</issn><abstract>Failing dialysis fistulas are a severe complication for patients treated by chronic haemodialysis. This study was undertaken to evaluate the technical aspects of percutaneous transluminal angioplasty (PTA) of shunts and to report on our experience in 100 patients.
In a 4-year period a total of 166 PTA procedures was performed in 100 haemodialysis patients with stenosis and occlusion of Brescia Cimino shunts and PTFE grafts (polytetrafluoroethylene). Patency rates were retrospectively evaluated for type and location of lesions, patient age, sex and the success of PTA.
Technical success was achieved in 97% (n = 161). Complications appeared in 11 cases (6.6%). Shunt occlusion or rupture of a vein is rare. The cumulative patency rate for primary PTA treatment was 55% at 6 months, 47% at 12 months and 32% at 24 months and for repeat PTA treatment 87% at 6 months, 80% at 12 months and 70% at 24 months. Residual stenosis and diabetes mellitus significantly reduced the patency rate.
PTA is an ideal method for accomplishing recurrent fistula failure due to its cost effectiveness and minimally invasive procedure. Recurrent stenosis has been a major problem of PTA as also in equal measure with surgical intervention.</abstract><cop>Germany</cop><pmid>9711286</pmid><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1438-9029 |
| ispartof | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren, 1998-07, Vol.169 (1), p.68-76 |
| issn | 1438-9029 |
| language | ger |
| recordid | cdi_proquest_miscellaneous_73873456 |
| source | MEDLINE; Thieme Connect Journals |
| subjects | Adult Aged Aged, 80 and over Angiography, Digital Subtraction Angioplasty, Balloon - instrumentation Angioplasty, Balloon - methods Angioplasty, Balloon - statistics & numerical data Arteriovenous Shunt, Surgical - adverse effects Arteriovenous Shunt, Surgical - statistics & numerical data Blood Vessel Prosthesis - adverse effects Blood Vessel Prosthesis - statistics & numerical data Constriction, Pathologic - diagnostic imaging Constriction, Pathologic - therapy Female Graft Occlusion, Vascular - diagnostic imaging Graft Occlusion, Vascular - therapy Humans Male Middle Aged Polytetrafluoroethylene Prognosis Radiography, Interventional Renal Dialysis Retrospective Studies |
| title | Angioplasty in the stenosed hemodialysis shunt: experiences with 100 patients and 166 interventions |
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