Stents in Hemodialysis Fistulae and Grafts

ABSTRACT

Stents have been used in hemodialysis fistulas and grafts for almost 10 years. Their range of indications is wide, from insufficient balloon angioplasty, occlusions, venous dissections to venous rupture following angioplasty. In an acute phase, stents are helpful in solving the actual problem and maintaining patency of the fistula. Over time, patency, however, is limited and not much better compared to balloon angioplasty alone. Nevertheless, stents are helpful in resolving otherwise desperate situations. Their use should be limited to upper arm and central veins because small diameters have a higher tendency for re-obstruction.

KEYWORD

Stent - dialysis fistula - dialysis graft endoprosthesis - vascular

REFERENCES

• 1 Bell D, Rosenthal J. Arteriovenous graft life in chronic hemodialysis. A need for prolongation.  Arch Surg . 1988;  123 1169-1172
• 2 Keller F, Loewe H, Bauknecht K, Schwarz A, Offermann G. Kumulative Funktionsraten von orthotopen Dialysefisteln und Interponaten.  Dtsch Med Wschr . 1988;  113 332-336
• 3 Glanz S, Gordon D, Butt K, Hong J, Lipkowitz G. The role of percutaneous angioplasty in the management of chronic hemodialysis fistulas.  Ann Surg . 1987;  206 777-781
• 4 Beathard G. Percutaneous transvenous angioplasty in the treatment of vascular access stenosis.  Kidney Intern . 1992;  42 1390-1397
• 5 Gmelin E, Karnel F. Radiologische Rekanalisation von Venen, Gefä&beta′othesen und Arterien bei insuffizienten Dialysefisteln.  Fortschr Roentgenstr . 1990;  153 432-437
• 6 Bohndorf K, Gladziwa U, Kistler D. Rekanalisation von stenosierten oder verschlossenen Hämodialyseshunts.  Fortschr Roentgenstr . 1993;  158 525-531
• 7 Dapunt O, Feuerstein M, Rendl K, Prenner K. Transluminal angioplasty versus conventional operation in the treatment of haemodialysis fistula stenosis: results from a 5-year study.  Br J Surg . 1987;  74 1004-1005
• 8 Glanz S, Gordon D, Lipkowitz G. Axillary and subclavian vein stenosis: percutaneous angioplasty.  Radiology . 1988;  168 371-373
• 9 Schwab S, Quarles L, Middleton J. Hemodialysis-associated subclavian vein stenosis.  Kidney Int . 1988;  33 1156-1159
• 10 Quinn S, Schuman E, Hall L. Venous stenoses in patients who undergo hemodialysis: treatment with self-expandable endovascular stents.  Radiology . 1992;  183 499-504
• 11 Vorwerk D, Günther R W, Mann H. Stenting of venous stenoses and occlusions in hemodialysis shunts: follow-up results in 65 patients.  Radiology . 1995;  195 140-146
• 12 Gray R, Horton K, Dolmatch B. Use of Wallstents for hemodialysis acess-related venous stenoses and occlusions untreatable with balloon angioplasty.  Radiology . 1995;  195 479-484
• 13 Haage P, Vorwerk D, Piroth W, Schuermann K, Guenther R W. Treatment of hemodialysis related central venous stenosis or occlusion: results of primary wallstent placement and follow-up in 50 patients.  Radiology . 1999;  212 175-180
• 14 Bosnjakovic P, Ivkovic T, Ilic M, Aracki S. Strecker stent in stenotic hemodialysis Brescia-Cimino arteriovenous fistulas.  Cardiovasc Intervent Radiol . 1992;  15 217-220
• 15 Liermann D. Implantation of a new nitinol memory alloy stent in vessels-first results after implantation in hemodialysis shunts.  Cardiovasc Intervent Radiol . 1993;  16(Suppl 1) S32(Abst)
• 16 Landwehr P, Lackner K, Gotz R. Dilatation and balloon-expandable stents for the treatment of central venous stenosis in dialysis patients.  Fortschr Roentgenstr . 1990;  153 239-245
• 17 Gray R, Dolmatch B, Horton K. Metallic stents for hemodialysis access.  Radiology . 1992;  185P 134(Abst)
• 18 Sapoval M, Turmel-Rodrigues L, Raynaud A. Cragg-covered stents in hemodialysis access. Initial and mid-term results.  Angioaccess for Hemodialysis Tours . 1996;  3.-5.6.96 84(Abst)
• 19 Zijlstra J. Percutaneous transuminal angioplasty in vascular access for hemodialysis. Proefschrift ter verkrijging van de graad van doctor aan de Rijksuniversiteit te Utrecht. Utrecht, 1989.
• 20 Turmel-Rodrigues L, Blanchard D, Pengloan J. Wallstents and Cragg stents in hemodialysis grafts and fistulas: results for selective indications.  J Vasc Interv Radiol . 1997;  8 975-982
• 21 Raynaud A, Angel C, Sapoval M. Treatment of hemodialysis access rupture during PTA with wallstent implantation.  J Vasc Interv Radiol . 1998;  9 437-442
• 22 Welber A, Schur I, Sofocleous C. Endovascular stent placement for angioplasty-induced venous rupture related to the treatment of hemodialysis grafts.  J Vasc Interv Radiol . 1999;  10 547-551
• 23 Rundback J, Leonardo R, Poplausky M, Rozenblit G. Venous rupture complicating hemodialysis access angioplasty: percutaneous treatment and outcome in seven patients.  Am J Roentgenol . 1998;  171 1081-1084
• 24 Beathard G A. The use of the Gianturco intravascular stent in stenotic hemodialysis fistulas.  ASAIO Trans . 1991;  37 M234-235
• 25 Angel C, Raynaud A, Dahmoune S, Bourquelot P. Metallic stent against woodlock.  Angioaccess for Hemodialysis Tours. 1996;  3.-5.6.96(Abst)
• 26 Levaltier B, Henri P, Le Goff C. Stent migration in a patient on haemodialysis.  Angioaccess for Hemodialysis Tours . 1996;  3.-5.6.96 59(Abst)
• 27 Vorwerk D, Günther R W, Bohndorf K, Kistler D, Gladziwa U, Sieberth H G. Follow-up results after stent placement in failing arteriovenous shunts: a three-year experience.  Cardiovasc Intervent Radiol . 1991;  14 285-289
• 28 Turmel-Rodrigues L, Sapoval M, Pengloan J. Stents in angioaccess for hemodialysis: results for selctive indications.  Angioaccess for Hemodialysis Tours . 1996;  3.-5.6.96 95
• 29 Schürmann K, Vorwerk D, Kulisch A. Puncture of stents implanted into veins and arteriovenous fistulas: an experimental study.  Cardiovasc Intervent Radiol . 1995;  18 383-390
• 30 Vorwerk D, Günther R W. Removal of intimal hyperplasia in vascular endoprostheses by atherectomy and balloon dilatation.  AJR Am J Roentgenol . 1990;  154 617-619
• 31 Zollikofer C, Antonucci F, Stuckmann G. Stenotic veins, grafts and dialysis shunts: treatment with self-expanding prosthesis.  Cardiovasc Intervent Radiol . 1992;  15 334-341