Daniel R. Gorin, MD, FACS, Lisa Perrino, RDMS, RVT, Donna M

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Presentation transcript:

Ultrasound-guided angioplasty of autogenous arteriovenous fistulas in the office setting Daniel R. Gorin, MD, FACS, Lisa Perrino, RDMS, RVT, Donna M. Potter, RN, MS, ANP-BC, Tarik Z. Ali, BS Journal of Vascular Surgery Volume 55, Issue 6, Pages 1701-1705 (June 2012) DOI: 10.1016/j.jvs.2011.12.016 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Room set up for ultrasound-guided arteriovenous fistula (AVF) intervention. Journal of Vascular Surgery 2012 55, 1701-1705DOI: (10.1016/j.jvs.2011.12.016) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 The guidewire and angioplasty balloon can be clearly visualized under ultrasound, allowing for precise placement and treatment. Journal of Vascular Surgery 2012 55, 1701-1705DOI: (10.1016/j.jvs.2011.12.016) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Tumescent anesthesia is injected along the length of the area to be treated using ultrasound guidance. Journal of Vascular Surgery 2012 55, 1701-1705DOI: (10.1016/j.jvs.2011.12.016) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 A and B, The “waist” can be clearly visualized as the balloon is inflated and a stenosis is treated. Journal of Vascular Surgery 2012 55, 1701-1705DOI: (10.1016/j.jvs.2011.12.016) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Completion ultrasound commonly shows small intraluminal abnormalities but confirms a widely patent arteriovenous fistula (AVF) with no flow-limiting lesions. These abnormalities are found to have resolved on follow-up ultrasound. Journal of Vascular Surgery 2012 55, 1701-1705DOI: (10.1016/j.jvs.2011.12.016) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 An example of a large forearm cephalic arteriovenous fistula (AVF) created from a small vein with several high-grade stenosis that were treated with ultrasound-guided angioplasty. Journal of Vascular Surgery 2012 55, 1701-1705DOI: (10.1016/j.jvs.2011.12.016) Copyright © 2012 Society for Vascular Surgery Terms and Conditions