Arterial stent placement in arteriovenous dialysis access by interventional nephrologists.
Arterial stenoses in patients with arteriovenous dialysis access can create a variety of problems including access dysfunction, thrombosis, and hand ischemia. While percutaneous balloon angioplasty is largely successful in the management of arterial stenoses, elastic recoil can present a real predicament to this treatment. In this report, we present two cases of arterial stenosis that demonstrated elastic recoil after angioplasty and required endovascular stent insertion. Both cases were treated successfully without any complications on an outpatient basis. This report describes arterial stent placement in patients with arteriovenous access and discusses anticoagulation considerations in such cases.
Asif
Arif
A
Division of Nephrology, Section of Interventional Nephrology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA. Aasif@med.miami.edu
Yevzlin
Alexander S
AS
D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D002908:Chronic Disease; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009398:Nephrology / Q000379:methods; D019919:Prosthesis Implantation / Q000379:methods; D006435:Renal Dialysis; D015607:Stents