Aim: To evaluate the technical and clinical success, primary patency (PP) and complications of angioplasty performed with paclitaxel-coated balloon (PCBs) associated with cutting balloon and for the treatment of the outflow stenoses of failing hemodialysis arteriovenous shunt. Material and methods: From September 2014 to September 2015, 50 patients with 66 stenoses were registered. Vascular accesses were autogenous (n = 20) and prosthetic (n = 30). Stenosis were documented during follow-up with routine echo-color Doppler, clinical evaluation and in the remaining incidentally during fistulography. Angioplasty was performed with cutting balloon and afterward with PCB. The mean follow-up time was 8 months (range 6–15 months). Technical success, clinical success, primary patency and complications were registered. Results: Technical success was 100 %. Clinical success was 94.7 %. Primary patency rate was 87.7 %; in five patients, a significant re-stenosis (≥50 %) was registered. A residual asymptomatic stenosis (<30 %) was registered in four cases (7 %). No major complications were registered. Conclusions: A short-term patency benefit may be obtained including PCB in angioplasty treatment of failing hemodialysis arteriovenous shunts.

Usefulness of paclitaxel-releasing high-pressure balloon associated with cutting balloon angioplasty for treatment of outflow stenoses of failing hemodialysis arteriovenous shunts

IERARDI, ANNA MARIA
Primo
Writing – Original Draft Preparation
;
FRANCHIN, MARCO
Data Curation
;
FONTANA, FEDERICO
Resources
;
PIFFARETTI, GABRIELE
Formal Analysis
;
DUKA, EJONA;TOZZI, MATTEO
Membro del Collaboration Group
;
CARRAFIELLO, GIANPAOLO
Writing – Review & Editing
2017

Abstract

Aim: To evaluate the technical and clinical success, primary patency (PP) and complications of angioplasty performed with paclitaxel-coated balloon (PCBs) associated with cutting balloon and for the treatment of the outflow stenoses of failing hemodialysis arteriovenous shunt. Material and methods: From September 2014 to September 2015, 50 patients with 66 stenoses were registered. Vascular accesses were autogenous (n = 20) and prosthetic (n = 30). Stenosis were documented during follow-up with routine echo-color Doppler, clinical evaluation and in the remaining incidentally during fistulography. Angioplasty was performed with cutting balloon and afterward with PCB. The mean follow-up time was 8 months (range 6–15 months). Technical success, clinical success, primary patency and complications were registered. Results: Technical success was 100 %. Clinical success was 94.7 %. Primary patency rate was 87.7 %; in five patients, a significant re-stenosis (≥50 %) was registered. A residual asymptomatic stenosis (<30 %) was registered in four cases (7 %). No major complications were registered. Conclusions: A short-term patency benefit may be obtained including PCB in angioplasty treatment of failing hemodialysis arteriovenous shunts.
http://link.springer.com/journal/11547
Hemodialysis arteriovenous shunt; Outflow stenoses; Paclitaxel-coated balloon; Adult; Aged; Aged, 80 and over; Arteriovenous Shunt, Surgical; Combined Modality Therapy; Constriction, Pathologic; Female; Graft Occlusion, Vascular; Humans; Male; Middle Aged; Paclitaxel; Prospective Studies; Renal Dialysis; Treatment Outcome; Vascular Patency; Angioplasty, Balloon; Radiology, Nuclear Medicine and Imaging
Ierardi, ANNA MARIA; Franchin, Marco; Fontana, Federico; Piffaretti, Gabriele; Duka, Ejona; Tonolini, Massimo; Miele, Vittorio; Tozzi, Matteo; Carrafiello, Gianpaolo
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11383/2063208
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