Open AccessThe Role of Percutaneous Angioplasty in the Management of Chronic Hemodialysis Fistulas
Author(s) -
Sidney Glanz,
David Gordon,
Khalid M. H. Butt,
Joon Ho Hong,
George S. Lipkowitz
Publication year - 1987
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198712000-00015
Subject(s) - medicine , percutaneous , stenosis , hemodialysis , surgery , fistula , angioplasty , anastomosis , dialysis , arteriovenous fistula , radiology , vein
One hundred forty-one dilatations of stenotic lesions in dialysis access fistulas were performed. The initial success rate was 82%. The one-year patency rate was 45%, with a 2-year patency rate of 24%. Best results were obtained with a discrete stenosis at a graft-to-vein anastomosis. The procedure can be done on an outpatient basis and, although long-term results are poor, in appropriate patients multiple dilatations can be performed to keep a fistula functioning for many years.