The role of percutaneous angioplasty in the management of chronic hemodialysis fistulas
S Glanz, D H Gordon, K M Butt, J Hong, G S Lipkowitz, S Glanz, D H Gordon, K M Butt, J Hong, G S Lipkowitz
Abstract
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.
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Source: PubMed