Skip to main content
PMC home page
Annals of Surgery logoLink to Annals of Surgery
. 1987 Dec;206(6):777–781. doi: 10.1097/00000658-198712000-00015

The role of percutaneous angioplasty in the management of chronic hemodialysis fistulas.

S Glanz 1, D H Gordon 1, K M Butt 1, J Hong 1, G S Lipkowitz 1
PMCID: PMC1493329  PMID: 2961315

Abstract

One hundred forty-one dilatations of stenotic lesions in dialysis access fistulas were performed. The initial success rate was 82%. The one-year patency rate was 45%, with a 2-year patency rate of 24%. Best results were obtained with a discrete stenosis at a graft-to-vein anastomosis. The procedure can be done on an outpatient basis and, although long-term results are poor, in appropriate patients multiple dilatations can be performed to keep a fistula functioning for many years.

Full text

PDF
777

Images in this article

779Figs. 1A and B.
on p.779
780Figs. 2A and B.
on p.780
780Figs. 2A and B.
on p.780
781Figs. 3A-C.
on p.781

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker L. D., Jr, Johnson J. M., Goldfarb D. Expanded polytetrafluoroethylene (PTFE) subcutaneous arteriovenous conduit: an improved vascular access for chronic hemodialysis. Trans Am Soc Artif Intern Organs. 1976;22:382–387. [PubMed] [Google Scholar]
  2. Brescia M. J., Cimino J. E., Appel K., Hurwich B. J. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med. 1966 Nov 17;275(20):1089–1092. doi: 10.1056/NEJM196611172752002. [DOI] [PubMed] [Google Scholar]
  3. Butler H. G., 3rd, Baker L. D., Jr, Johnson J. M. Vascular access for chronic hemodialysis: polytetrafluoroethylene (PTFE) versus bovine heterograft. Am J Surg. 1977 Dec;134(6):791–793. doi: 10.1016/0002-9610(77)90326-9. [DOI] [PubMed] [Google Scholar]
  4. Butt K. M. Blood access. Clin Nephrol. 1978 Apr;9(4):138–143. [PubMed] [Google Scholar]
  5. Butt K. M., Friedman E. A., Kountz S. L. Angioaccess. Curr Probl Surg. 1976 Sep;13(9):1–67. doi: 10.1016/s0011-3840(76)80014-7. [DOI] [PubMed] [Google Scholar]
  6. Gilula L. A., Staple T. W., Anderson C. B., Anderson L. S. Venous angiography of hemodialysis fistulas. Experience with 52 studies. Radiology. 1975 Jun;115(3):555–562. doi: 10.1148/15.3.555. [DOI] [PubMed] [Google Scholar]
  7. Glanz S., Bashist B., Gordon D. H., Butt K., Adamsons R. Angiography of upper extremity access fistulas for dialysis. Radiology. 1982 Apr;143(1):45–52. doi: 10.1148/radiology.143.1.6461026. [DOI] [PubMed] [Google Scholar]
  8. Glanz S., Gordon D. H., Butt K. M., Hong J., Adamsons R., Sclafani S. J. Stenotic lesions in dialysis-access fistulas: treatment by transluminal angioplasty using high-pressure balloons. Radiology. 1985 Jul;156(1):236–236. doi: 10.1148/radiology.156.1.3159041. [DOI] [PubMed] [Google Scholar]
  9. Glanz S., Gordon D., Butt K. M., Hong J., Adamson R., Sclafani S. J. Dialysis access fistulas: treatment of stenoses by transluminal angioplasty. Radiology. 1984 Sep;152(3):637–642. doi: 10.1148/radiology.152.3.6235537. [DOI] [PubMed] [Google Scholar]
  10. Hashmonai M., Schramek A., Szylman P., Auslaender L. Saccular aneurysm of the venous limb of an arteriovenous fistula complicating its use in chronic hemodialysis. Angiologica. 1973;10(5-6):294–298. doi: 10.1159/000157986. [DOI] [PubMed] [Google Scholar]
  11. Jacobson J. H., 2nd, Haimov M. The modified bovine carotid artery as a vascular substitute in man. Personal experience and review of the literature. Isr J Med Sci. 1975 Feb-Mar;11(2-3):287–293. [PubMed] [Google Scholar]
  12. Johnson J. M., Kenoyer M. R., Johnson K. E., Potter D. J., Nickas G. M., Williams T. The modified bovine heterograft in vascular access for chronic hemodialysis. Ann Surg. 1976 Jan;183(1):62–66. doi: 10.1097/00000658-197601000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Lawrence P. F., Miller F. J., Jr, Mineaud E. Balloon catheter dilatation in patients with failing arteriovenous fistulas. Surgery. 1981 Apr;89(4):439–442. [PubMed] [Google Scholar]
  14. Probst P., Mahler F., Krneta A., Descoeudres C. Percutaneous transluminal dilatation for restoration of angioaccess in chronic hemodialysis patients. Cardiovasc Intervent Radiol. 1982;5(5):257–259. doi: 10.1007/BF02565407. [DOI] [PubMed] [Google Scholar]
  15. Tortolani E. C., Tan A. H., Butchart S. Percutaneous transluminal angioplasty. An ineffective approach to the failing vascular access. Arch Surg. 1984 Feb;119(2):221–223. doi: 10.1001/archsurg.1984.01390140077013. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES