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Radiol Med. 2017 Jan;122(1):69-76. doi: 10.1007/s11547-016-0680-z. Epub 2016 Sep 6.

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

Author information

1
Interventional Radiology, Department of Radiology, University of Insubria, Viale L. Borri, 57, 21100, Varese (VA), Italy.
2
Vascular Surgery Department, University of Insubria, Viale L. Borri, 57, 21100, Varese (VA), Italy.
3
Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157, Milan (MI), Italy.
4
Department of Emergency Radiology, S. Camillo Hospital, Circonvallazione Gianicolense, 87, 00152, Rome, Italy.
5
Diagnostic and Interventional Radiology Unit, Department of Health Sciences, University of Milan, Via A. di Rudinì 8, 20142, Milan, Italy. gcarraf@gmail.com.

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.

KEYWORDS:

Hemodialysis arteriovenous shunt; Outflow stenoses; Paclitaxel-coated balloon

PMID:
27601144
DOI:
10.1007/s11547-016-0680-z
[Indexed for MEDLINE]

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