PT  - JOURNAL ARTICLE
AU  - Buriánková, Eva
AU  - Köcher, Martin
AU  - Bachleda, Petr
AU  - Utíkal, Petr
AU  - Kojecký, Zdenek
AU  - Černá, Marie
AU  - Heřman, Miroslav
TI  - Endovascular treatment of central venous stenoses in patients with dialysis shunts
DP  - 2003 Dec 1
TA  - Biomedical papers
PG  - 203--206
VI  - 147
IP  - 2
AID - 10.5507/bp.2003.030
IS  - 12138118
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.