title: Cutting balloons, covered stents and paclitaxel-coated balloons for the treatment of dysfunctional dialysis access.
abstract: Percutaneous transcatheter balloon angioplasty has evolved to the current mainstay treatment for salvage of dysfunctional dialysis access. Nonetheless, it is frequently associated with recurrent vessel restenosis and the need for multiple repeat treatments in order to maintain hemodynamic patency. Cutting-balloons, covered stents or stent-grafts, and paclitaxel-coated balloons have been extensively tested and investigated with the aim to improve immediate anatomical and long-term clinical results. Areas covered: In the present overview, we discuss the background and appraise relevant medical literature on the aforementioned technologies and provide a more in-depth synthesis of the results of different clinical studies for each device category. We will also discuss the limitations in the mode of action of each group of devices and envision what the future holds for the challenging field of dialysis access interventions. Expert commentary: We propose a good practice algorithm for the treatment of thrombosed or dysfunctional dialysis access.
authors: a Department of Interventional Radiology , Patras University Hospital, School of Medicine , Rion , Greece.
authors: Panagiotis
authors: P
authors: Kitrou
authors: b 2nd Department of Radiology, Interventional Radiology Unit , ATTIKO Athens University Hospital , Athens , Greece.
authors: Stavros
authors: S
authors: Spiliopoulos
authors: a Department of Interventional Radiology , Patras University Hospital, School of Medicine , Rion , Greece.
authors: Dimitris
authors: D
authors: Karnabatidis
authors: a Department of Interventional Radiology , Patras University Hospital, School of Medicine , Rion , Greece.|c Department of Interventional Radiology , Guy's and St. Thomas' Hospitals, NHS Foundation Trust, King's Health Partners , London , UK.
authors: Konstantinos
authors: K
authors: Katsanos
mesh_terms: D000800:Angioplasty, Balloon; D002986:Clinical Trials as Topic; D020099:Coated Materials, Biocompatible / Q000494:pharmacology*; D006801:Humans; D017239:Paclitaxel / Q000494:pharmacology*; D006435:Renal Dialysis; D015607:Stents
chemical_list: D020099:Coated Materials, Biocompatible; D017239:Paclitaxel
keywords: Cutting balloons; arteriovenous fistula; arteriovenous graft; balloon angioplasty; covered stents; dialysis; hemodialysis; paclitaxel-coated balloons; restenosis; stenosis; stent-grafts; synthetic graft; thrombosis