Management of perianastomotic stenosis of direct wrist autogenous radial-cephalic arteriovenous accesses for dialysis Bertrand Long, MD, Nicolas Brichart,

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Presentation transcript:

Management of perianastomotic stenosis of direct wrist autogenous radial-cephalic arteriovenous accesses for dialysis Bertrand Long, MD, Nicolas Brichart, MD, Patrick Lermusiaux, PhD, Luc Turmel-Rodrigues, MD, Bernard Artru, MD, Jean Michel Boutin, MD, Josette Pengloan, MD, Philippe Bertrand, MD, Franck Bruyère, MD Journal of Vascular Surgery Volume 53, Issue 1, Pages 108-114 (January 2011) DOI: 10.1016/j.jvs.2010.08.007 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Peri-anastomotic stenoses - (a) venous stenosis, (b) anastomotic stenosis, (c) arterial stenosis. Journal of Vascular Surgery 2011 53, 108-114DOI: (10.1016/j.jvs.2010.08.007) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 a, Peri-anastomotic stenosis confirmed by angiographic evaluation. b, Angioplasty: 8-mm high-pressure balloon inflated for 65 seconds. c, No postangioplasty residual stenosis. Journal of Vascular Surgery 2011 53, 108-114DOI: (10.1016/j.jvs.2010.08.007) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Postoperative primary patency rate of the 73 radial-cephalic fistulas (RCFs): 45 events ended postintervention primary patency (45 restenosis and 1 RCF discontinuation due to vein rupture); 28 nonevents. TRT, treatment. Journal of Vascular Surgery 2011 53, 108-114DOI: (10.1016/j.jvs.2010.08.007) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Postoperative assisted primary patency of 73 radial-cephalic fistulas (RCFs): 10 events ended assisted postoperative primary patency (10 discontinuations of RCF replaced by 6 brachial-cephalic RCFs and 3 brachial-basilic RCFs, 1 patient on central venous catheter dialysis); 62 nonevents. TRT, treatment. Journal of Vascular Surgery 2011 53, 108-114DOI: (10.1016/j.jvs.2010.08.007) Copyright © 2011 Society for Vascular Surgery Terms and Conditions