[Percutaneous transluminal angioplasty in Brescia-Cimino shunt insufficiency].
Forty-eight patients with failing arteriovenous dialysis fistulas were evaluated in an 18-month period. Forty-six of dialysis access fistulas were of the Brescia-Cimino type; two were fistulas in the upper forearm. PTA was technically feasible in twenty-three patients (44%). 54% dilatations with polyethylene balloons were initially successful and patent at 3 months; 43% were patent at 6 months; and 24% after more than 9 months. Two complications were encountered. PTA is recommended in Brescia-Cimino type dialysis fistulas, as the procedure prevents damage to the arterial and venous vessels suitable for a new fistula at the same forearm. The procedure may be performed on an outpatient basis.
D000800:Angioplasty, Balloon; D001166:Arteriovenous Shunt, Surgical; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D006435:Renal Dialysis
Perkutane transluminale Angioplastie bei insuffizientem Brescia-Cimino-Shunt.