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Migration of covered stents from hemodialysis A‐V access to the pulmonary artery: Percutaneous stent retrieval and procedural trends
Author(s) -
Dashkoff Neil,
Blessios George A.,
Cox Matthew R.
Publication year - 2010
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22553
Subject(s) - medicine , stent , hemodialysis , percutaneous , concomitant , hemodialysis access , surgery , pulmonary artery , radiology , cardiology , vascular access
Details are presented of two patients with end‐stage renal disease (ESRD) who recently experienced migration of a Viabahn covered stent from a peripheral hemodialysis A‐V access to the right lower lobe pulmonary artery. Successful percutaneous retrieval was achieved in one patient using a dual snare approach, facilitated by ex vivo product testing. The second patient was managed conservatively. A review of the institution's A‐V access salvage procedures, indicated a concomitant trend toward greater use of stent‐assisted procedures, and a higher utilization of covered versus uncovered stents. © 2010 Wiley‐Liss, Inc.