[Vascular access in hemodialysis. Surveillance and role of percutaneous transluminal angioplasty].
The function of vascular shunts in hemodialysis plays a vital role for the efficiency and effectiveness of replacement therapy. A study was performed in 147 patients undergoing periodical hemodialysis with distal FAV (no = 86), proximal FAV (no = 33), PTFE grafts (no = 23), Canaud-Tesio catheters (no = 7). A protocol for function evaluation was developed which also included the calculation of overall recirculation (R), that was found to be 10.8 + 7% (using the three blood sample method). In 28/143 patients the monitoring protocol recommended the use of angiography which identified abnormalities in 78% of cases, before the onset of thrombotic phenomena. In particular, surgical radiology was able to resolve 94% of cases in which angiography revealed a stenosis using percutaneous transluminal angioplasty and/or the insertion of one or more stents.
Ghezzi
P M
PM
Divisione di Nefrologia e Dialisi, Azienda Ospedaliera S. Croce e Carle, Cuneo.
Meinero
S
S
Dutto
A
A
Scarrone
A
A
Bracco
E
E
Ferro
C
C
D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D001166:Arteriovenous Shunt, Surgical; D001807:Blood Vessel Prosthesis; D002408:Catheters, Indwelling / Q000145:classification; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000628:therapy; D011138:Polytetrafluoroethylene; D015641:Radiography, Interventional; D012079:Renal Circulation; D006435:Renal Dialysis / Q000295:instrumentation / Q000379:methods*; D015607:Stents; D013927:Thrombosis / Q000209:etiology
D011138:Polytetrafluoroethylene
Accessi vascolari in emodialisi. Sorveglianza e ruolo dell'angioplastica percutanea transluminale.