The Effectiveness of Endovascular Procedures for the Treatment of Vascular Access with CAS

Introduction: This is a single-center retrospective analysis to evaluate the effectiveness of endovascular procedures for the treatment of dysfunctional vascular access with cephalic arch stenosis (CAS).

Method(s): In 41 months, 56 patients underwent 90 procedures for the treatment of their dysfunctional vascular access with CAS. Most frequent comorbidities were hypertension and smoking. Patients were treated with High-Pressure Balloon (HPB) angioplasty only, Paclitaxel-Coated Balloon (PCB) angioplasty or Covered Stent (CS) insertion. Primary outcome measures were target lesion primary patency (TLPP) at 6 months assessed with Kaplan–Meier survival analysis and procedural success.

Result(s): Procedural success: 100%. Mean follow-up: 643 days. HPB angioplasty: 50 cases (55.5%), PCBs: 14 cases (15.6%), and CS: 26 cases (28.9%). TLPP at 6 months: 54% for HPB, for PCB and 80.77% for CS (p < 0.0001), and 31.9, 64.3, and 76.9% at 12 months, respectively.

Conclusion(s): In this retrospective analysis, PCBs and CSs had similar results for the treatment of CAS and significantly better than HPB angioplasty.

Publication History

Article published online:
09 February 2023