Linda Le, MD, Ashton Brooks, MBBS, Melissa Donovan, MD, Taylor A

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Presentation transcript:

Transradial approach for percutaneous intervention of malfunctioning arteriovenous accesses Linda Le, MD, Ashton Brooks, MBBS, Melissa Donovan, MD, Taylor A. Smith, MD, W. Charles Sternbergh, MD, Hernan A. Bazan, MD Journal of Vascular Surgery Volume 61, Issue 3, Pages 747-753 (March 2015) DOI: 10.1016/j.jvs.2014.10.004 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Retrograde brachial angiogram and fistulogram of a brachiocephalic arteriovenous fistula (AVF) through a hydrophilic catheter advanced into the brachial artery via a tapered radial artery sheath. Note the visualization of both arterial and venous limbs with identification of a juxta-anastomotic stenosis. B, Central venogram through a transradial approach (TRA). C, Juxta-anastomotic lesion crossed and treated with angioplasty using a 7-mm × 40-mm balloon. D, Completion angiogram documents successful treatment of juxta-anastomotic lesion with resolution of stenosis. Journal of Vascular Surgery 2015 61, 747-753DOI: (10.1016/j.jvs.2014.10.004) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplan-Meier curve of estimated functional patency after treatment from a transradial approach (TRA). The crosses indicated censored observations, and the dotted lines represent 95% confidence intervals. Journal of Vascular Surgery 2015 61, 747-753DOI: (10.1016/j.jvs.2014.10.004) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Scatter plot shows flow volumes rates before and after the transradial approach (TRA) percutaneous transluminal angioplasty (PTA) intervention as documented on ultrasound imaging of dialysis access with juxta-anastomotic stenosis. Journal of Vascular Surgery 2015 61, 747-753DOI: (10.1016/j.jvs.2014.10.004) Copyright © 2015 Society for Vascular Surgery Terms and Conditions