PT Journal
AU Buriankova, E
   Kocher, M
   Bachleda, P
   Utikal, P
   Kojecky, Z
   Cerna, M
   Herman, M
TI Endovascular treatment of central venous stenoses in patients with dialysis shunts
SO Biomedical papers
PY 2003
BP 203
EP 206
VL 147
IS 2
DI 10.5507/bp.2003.030
DE Central veins / Stenosis / Occlusion / Endovascular treatment / Angioplasty / Haemodialysis
AB Objective: Evaluation of long-term results of percutaneous treatment of central vein stenoses or occlusions in patients with haemodialysis shunt.Materials and Methods: In 26 patients with haemodialysis shunts and confirmed central vein stenosis or occlusion, 28 primary percuta-neous transluminal angioplasties (PTA) and 5 repeated PTAs (re-PTA) were performed; in three patients a stent was implanted - primary in one patient and due to early restenosis after PTA in two patients. To maintain stent patency, 10 re-PTA were performed.Results: The technical success rate of primary interventions was 96 % (100 % in stenoses and 50 % in occlusions). Primary post-PTA patency rate was 70 % at 3 months, 60 % at 6 months and 30 % at 12 months.Conclusion: PTA with possible stent implantation is a first-choice method in the treatment of stenoses and occlusions of the central venous system. Despite the relatively frequent re-interventions, endovascular treatment is capable to preserve long-term function of the dialysis shunt. Abbreviations: a-v - arterio-venous; CVS - central venous system; PTA - percutaneous transluminal angioplasty; re-PTA - repeated PTA.
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