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Semin intervent Radiol 2022; 39(01): 056-065
DOI: 10.1055/s-0042-1742483
Review Article

Drug-Coated Balloons for the Dysfunctional Vascular Access: An Evidence-Based Road Map to Treatment and the Existing Obstacles

Panagiotis Kitrou
1   Department of Interventional Radiology, Patras University Hospital, Patras, Greece
,
Konstantinos Katsanos
1   Department of Interventional Radiology, Patras University Hospital, Patras, Greece
,
Georgia Andriana Georgopoulou
2   Department of Nephrology, Patras University Hospital, Patras, Greece
,
Dimitrios Karnabatidis
1   Department of Interventional Radiology, Patras University Hospital, Patras, Greece
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Abstract

An underlying stenosis within the venous limb of a hemodialysis access circuit is the main etiology for graft and fistula dysfunction as well as other symptoms such as arm, breast, and neck swelling. Treatment options for both peripheral and central venous stenoses include plain old balloon angioplasty, angioplasty with drug-coated balloons, and stenting. This article discusses the current evidence for the use of drug-coated balloon angioplasty in this patient population.

Keywords

drug-coated balloons - paclitaxel - vascular access - stenosis - angioplasty - interventional radiology


Publication History

Article published online:
18 February 2022

© 2022. Thieme. All rights reserved.

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