Role of stents and stent grafts in management of hemodialysis access complications.
Different types of complications may occur during a percutaneous vascular access procedure and the majority of these complications are caused by balloon angioplasty. These balloon angioplasty-induced complications include venous rupture, venous dissection, and the development of an acute pseudoaneurysm. Balloon tamponade is the traditional percutaneous technique for management of these complications. However, insertion of a stent or stent graft has become an increasingly popular method to quickly and effectively repair a venous injury. A stent or stent graft may provide a more effective and durable method to treat balloon angioplasty-induced complications. Unfortunately, there are few, if any, clinical studies to substantiate the advantages and cost-effectiveness of these devices and so their use remains controversial.
Vesely
Thomas M
TM
24 The Boulevard, Suite 420, St Louis, MO 63117, USA. TMVesely@aol.com
D000792:Angiography; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D006435:Renal Dialysis / Q000379:methods*; D015607:Stents; D017211:Treatment Failure; D016896:Treatment Outcome