Cutting balloon angioplasty for resistant venous stenoses of Brescia-Cimino fistulas.
Peripheral cutting balloons with diameters of 5-8 mm were employed to dilate eight resistant stenoses among 62 venous stenoses in 48 Brescia-Cimino fistulas. The grade of stenosis after high-pressure balloon angioplasty ranged from 57% to 87% (median, 75%). The residual stenosis after cutting balloon angioplasty ranged from 0 to 24% (median, 10.5%). Two complications occurred among these eight cases, one of which was treated by stent placement. No repeated intervention was necessary during follow-up (range, 74-249 days; median, 141 days). Cutting balloon angioplasty was effective to overcome the resistance of venous stenosis in hemodialysis fistulas.
Song
Ha-Hun
HH
Department of Radiology, Uijongbu St. Mary's Hospital, The Catholic University of Korea, Uijongbu, Kyunggi-do 480-130, Korea. songhh@catholic.ac.kr
Kim
Ki-Tae
KT
Chung
Soo-Kyo
SK
Kim
Young-Ok
YO
Yoon
Sun-Ae
SA
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D006435:Renal Dialysis; D012189:Retrospective Studies; D016896:Treatment Outcome; D014654:Vascular Patency