title: Tumescent anesthesia reduces pain associated with balloon angioplasty of hemodialysis fistulas.
abstract: We describe the use of tumescent local anesthesia during endovascular treatment of arteriovenous fistula stenosis. Using ultrasound guidance, 11 patients were hand-injected with tumescent lidocaine anesthesia around the fistula stenosis prior to endovascular therapy. All patients rated the pain experienced during angioplasty on a numeric scale (0-10). The mean balloon inflation pressure was 12 ± 3.01 atm. During angioplasty, eight patients reported pain between 0 and 2; three patients reported 4, 5, and 7 out of 10 on the pain scale. In this small series, tumescent anesthesia provided adequate pain control to perform angioplasty of arteriovenous fistulas.
authors.affiliation: Department of Surgery, Iowa Methodist Medical Center, Des Moines, Iowa, USA.
authors.forename: Wen-Yu V
authors.initials: WY
authors.lastname: Haines
authors.forename: Ryan
authors.initials: R
authors.lastname: Deets
authors.forename: Ning
authors.initials: N
authors.lastname: Lu
authors.forename: John H
authors.initials: JH
authors.lastname: Matsuura
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D001166:Arteriovenous Shunt, Surgical; D003251:Constriction, Pathologic / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology* / Q000517:prevention & control*; D006435:Renal Dialysis; D012189:Retrospective Studies