title: Hemodialysis-related venous stenosis: treatment with ultrahigh-pressure angioplasty balloons.
abstract: The authors retrospectively reviewed the use of ultrahigh-pressure angioplasty balloons at atmospheric pressures at or above the manufacturer recommended burst pressure (30 atm) for the treatment of resistant hemodialysis-related venous stenosis at their institution. In seven of 87 procedures, high-pressure angioplasty (up to 27 atm) was unsuccessful. By coupling new balloon technology with aggressive inflation pressures, 100% technical success was achieved in the treatment of stenoses that were resistant to high-pressure angioplasty in these seven procedures. This approach could potentially offer cost savings compared with the costs of other previously described treatment methods for resistant lesions, such as atherectomy devices and cutting balloons.
authors.affiliation: Department of Radiology, University of Pennsylvania Medical Center, 1 Silverstein, 3400 Spruce St, Philadelphia, PA 19104, USA. streroto@uphs.upenn.edu
authors.forename: Scott O
authors.initials: SO
authors.lastname: Trerotola
authors.forename: S William
authors.initials: SW
authors.lastname: Stavropoulos
authors.forename: Richard
authors.initials: R
authors.lastname: Shlansky-Goldberg
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Tuite
authors.forename: Sidney
authors.initials: S
authors.lastname: Kobrin
authors.forename: Michael R
authors.initials: MR
authors.lastname: Rudnick
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D001132:Arm / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D001274:Atmospheric Pressure; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D000078702:Radiofrequency Therapy; D006435:Renal Dialysis / Q000009:adverse effects*; D012189:Retrospective Studies; D013848:Thigh / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000209:etiology* / Q000628:therapy*