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Stenting of proximal venous obstructions to maintain hemodialysis access  Richard Shoenfeld, MD, Howard Hermans, MD, Andrew Novick, MD, Bruce Brener, MD,

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Presentation on theme: "Stenting of proximal venous obstructions to maintain hemodialysis access  Richard Shoenfeld, MD, Howard Hermans, MD, Andrew Novick, MD, Bruce Brener, MD,"— Presentation transcript:

1 Stenting of proximal venous obstructions to maintain hemodialysis access 
Richard Shoenfeld, MD, Howard Hermans, MD, Andrew Novick, MD, Bruce Brener, MD, Pedro Cordero, MD, David Eisenbud, MD, Suresh Mody, MD, Robert Goldenkranz, MD, Victor Parsonnet, MD  Journal of Vascular Surgery  Volume 19, Issue 3, Pages (March 1994) DOI: /S (94) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Hemodynamics improved with stenting. A, Venous hypertension. Left innominate vein occlusion with multiple collaterals, retrograde flow in left internal jugular vein (IJV). B, Post implant and 5-week follow-up: normalization of pressures with prograde flow in IJV, virtually no opacification of collateral vessels. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 1 Hemodynamics improved with stenting. A, Venous hypertension. Left innominate vein occlusion with multiple collaterals, retrograde flow in left internal jugular vein (IJV). B, Post implant and 5-week follow-up: normalization of pressures with prograde flow in IJV, virtually no opacification of collateral vessels. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 2 A, Three-month venogram with patent left subclavian Wallstent (open arrow) and 2 left innominate Palmaz stents (curved arrows). No arm swelling. Patient's graft was ligated 1 month later. B, Seventeen months follow-up. Stents, central veins remain patent. Arteriovenous graft was ligated 13 months ago. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 2 A, Three-month venogram with patent left subclavian Wallstent (open arrow) and 2 left innominate Palmaz stents (curved arrows). No arm swelling. Patient's graft was ligated 1 month later. B, Seventeen months follow-up. Stents, central veins remain patent. Arteriovenous graft was ligated 13 months ago. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 3 Primary and secondary patency rates (percent).
Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 4 A, Inadequate anatomic result after PTVA. B, Sixteen days after implantation; vein is deformed by sharp end of 10 mm Wallstent causing irregular narrowing. C, Venous repair with 12 mm Palmaz stent tapered to Wallstent. Satisfactory anatomic result. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

8 Fig. 4 A, Inadequate anatomic result after PTVA. B, Sixteen days after implantation; vein is deformed by sharp end of 10 mm Wallstent causing irregular narrowing. C, Venous repair with 12 mm Palmaz stent tapered to Wallstent. Satisfactory anatomic result. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

9 Fig. 4 A, Inadequate anatomic result after PTVA. B, Sixteen days after implantation; vein is deformed by sharp end of 10 mm Wallstent causing irregular narrowing. C, Venous repair with 12 mm Palmaz stent tapered to Wallstent. Satisfactory anatomic result. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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