Database : MEDLINE
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[PMID]: 29098350
[Au] Autor:Wu SJ; Downing T; Mascio C; Gillespie MJ; Dori Y; Rome JJ; Glatz AC
[Ad] Address:Division of Cardiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 6th Floor Main Building, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104, USA.
[Ti] Title:Reintervention Burden and Vessel Growth After Surgical Reimplantation of a Pulmonary Artery During Childhood.
[So] Source:Pediatr Cardiol;, 2017 Nov 02.
[Is] ISSN:1432-1971
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Children requiring reimplantation of a branch pulmonary artery (PA) are at risk for postoperative stenosis and impaired growth of the reimplanted PA. Outcomes and risk factors for reintervention and impaired growth are incompletely described. We reviewed data on patients who underwent reimplantation of a branch PA between 1/1/99 and 5/1/15 at a single center. The primary outcome was reintervention to treat postoperative stenosis. The secondary outcome was "catch-up" growth (faster diameter growth of the affected PA compared with the unaffected PA from the preoperative to follow-up measurements.). Twenty-six patients were identified with a total follow-up of 102.2 patient-years (median 2.5 years). Diagnoses included LPA sling (n = 12) and isolated PA of ductal origin with (n = 7) or without (n = 7) tetralogy of Fallot (ToF). All had primary repair of the anomalous PA. Seventeen (65%) had reintervention with median time to first reintervention of 69 (range 1-1005) days and median of 1.5 (range 1-6) reinterventions. 94% of reinterventions were transcatheter (53% balloon and 41% stent angioplasty). Patients with reintervention were younger (hazard ratio 0.75 per log-day, p = 0.02) and lower weight (hazard ratio 0.18 per log-kg, p = 0.02) at initial repair. Of the 18 with PA growth data, 8 (44%) had catch-up growth. There were no identified differences between those who did and did not demonstrate catch-up growth. Despite a practice of primary reimplantation and aggressive postoperative reintervention, these results suggest that changes in strategy are needed or that there are intrinsic patient factors that have more influence on longer-term reimplanted PA growth.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher
[do] DOI:10.1007/s00246-017-1767-6

  2 / 71826 MEDLINE  
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[PMID]: 29097132
[Au] Autor:Patibandla MR; Xu Z; Schlesinger D; Sheehan JP
[Ad] Address:University of Virginia Health System, Department of Neurosurgery, Charlottesville, VA, USA.
[Ti] Title:Cavernous carotid stenosis following stereotactic radiosurgery for Cushing's disease: A rare complication and review of the literature.
[So] Source:J Clin Neurosci;, 2017 Oct 30.
[Is] ISSN:1532-2653
[Cp] Country of publication:Scotland
[La] Language:eng
[Ab] Abstract:Intracranial carotid stenosis or occlusion after SRS is an extraordinarily rare event. Because of the rarity of this event, increased awareness within the neurosurgical community is required. For those with post-radiosurgical carotid stenosis who are asymptomatic, longitudinal follow up is recommended. Management depends on whether the patient is symptomatic or asymptomatic. Those who are symptomatic may require balloon angioplasty, stenting, or bypass surgery.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher

  3 / 71826 MEDLINE  
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[PMID]: 29097042
[Au] Autor:Monastiriotis S; Loh S; Tassiopoulos A; Labropoulos N
[Ad] Address:Department of Vascular and Endovascular Surgery, Stony Brook Medicine, Stony Brook, NY.
[Ti] Title:Clinical characteristics and outcome of isolated infrarenal aortic stenosis in young patients.
[So] Source:J Vasc Surg;, 2017 Oct 30.
[Is] ISSN:1097-6809
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: The objective of this study was to identify young patients with isolated infrarenal aortic atherosclerotic stenosis and to determine the clinical characteristics and midterm results of angioplasty and stenting. METHODS: Data from patients younger than 50 years with significant infrarenal aortic stenosis and at least 1 year of follow-up were prospectively collected. Patients with coexistent suprarenal or iliofemoral disease and Takayasu arteritis were excluded. All patients were treated with percutaneous transluminal angioplasty (PTA), primary stenting, or both. Pressure gradient was measured intraoperatively before and after the intervention. Every patient was monitored postoperatively with clinical examination, ankle-brachial index, and duplex ultrasound during follow-up. RESULTS: There were 51 patients, of whom 34 were excluded. Seventeen patients ranging in age from 37 to 49 years (mean, 43.7 years) met the study criteria, and they were all female. Fifteen patients had both history of hyperlipidemia and smoking with a mean of 53.2 pack-years. Fourteen patients were claudicants, whereas seven patients presented with distal embolization. Six patients were treated with primary stenting; four had PTA plus stent and seven had PTA alone. The length of the stenotic segments treated was <2 cm in 7, between 2 and 4 cm in 8, and >4 cm in 2. The mean follow-up for this cohort was 4.2 years. Mean pressure gradient before intervention was 49.06 ± 12.75 mm Hg, decreasing to 6.13 ± 2.06 mm Hg after intervention with a mean reduction of 42.75 ± 11.59 mm Hg. Mean ankle-brachial indices before the intervention were 0.67 ± 0.07, increasing to a mean of 0.92 ± 0.06 after the procedure. Stenosis developed in three patients during follow-up, requiring reintervention for a primary assisted patency of 100%. CONCLUSIONS: Isolated infrarenal aortic stenosis in young patients is primarily a disease of women. Most of these patients are heavy smokers with hyperlipidemia. PTA alone or with stenting has favorable midterm results.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher

  4 / 71826 MEDLINE  
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[PMID]: 29095731
[Au] Autor:Fineschi M
[Ad] Address:Invasive Cardiology Unit, University of Siena Hospital, Siena, Italy.
[Ti] Title:Understanding myocardial infarction evolution: infarct size and index of microvascular resistance - new clinical perspective.
[So] Source:J Cardiovasc Med (Hagerstown);, 2017 Oct 31.
[Is] ISSN:1558-2035
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:: Approximately 40% of patients after ST elevation acute myocardial infarction (STEMI) have evidence of ineffective myocardial revascularization due to microvascular damage despite a successful target vessel recanalization by means of primary angioplasty (PPCI). Microvascular dysfunction is associated with the extension of the infarct size and with higher morbidity and mortality. Early identification of this phenomenon could be useful both for therapeutic and prognostic purposes. Index of microvascular resistance (IMR) could be assessed invasively at the end of PPCI and is a measure of microvascular function. A good correlation has been observed between IMR and the microvascular function assessed with NMR, such that IMR is a promising parameter for the assessment of reperfusion injury. Patients with a higher value of IMR right after PPCI present higher indexes of myocardial necrosis and worse microcirculatory function with less recovery of left ventricular function in the mid and long term. In addition to its prognostic importance, IMR could be used to evaluate the protective effect of drug therapy/interventional therapy affecting the improvement of clinical outcome of patients after STEMI.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[St] Status:Publisher
[do] DOI:10.2459/JCM.0000000000000558

  5 / 71826 MEDLINE  
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[PMID]: 29084606
[Au] Autor:Nasrin S; Cader FA; Haq MM; Karim MR
[Ad] Address:Department of Cardiology, Ibrahim Cardiac Hospital & Research Institute (ICHRI), Dhaka, Bangladesh.
[Ti] Title:Right coronary artery perforation extending to the coronary sinus of Valsalva during percutaneous intervention successfully sealed with polytetrafluoroethylene-covered stent: a case report.
[So] Source:BMC Res Notes;10(1):537, 2017 Oct 30.
[Is] ISSN:1756-0500
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Right coronary artery perforation extending to the sinus of Valsalva is a rare and potentially fatal complication of percutaneous coronary intervention. There are no definite guidelines on the management strategies for such complications. Treatment modality depends on the patient's haemodynamic stability and the extent of aortic involvement. Polytetrafluoroethylene-covered stents have emerged as a revolutionary strategy, enabling efficient endovascular repair of the entry port of such dissections, particularly the coronary ostia, and obviating the need for high-risk emergent surgical intervention. CASE PRESENTATION: A 60 year old Bangladeshi gentleman underwent a coronary angiogram following a prior inferior ST elevation myocardial infarction (MI), 1 month previously. Coronary angiography done via right radial approach using 5 FR TIG catheter showed diffuse mid RCA disease with maximum 90% stenosis. Angioplasty of the RCA was planned. The RCA was cannulated with a 6-French JR 3.5 guiding catheter (USA). The lesion was crossed by a 0.014 inch guide wire and stented with a 2.75 × 38 mm novolimus-eluting DESyne stent, after predilatation. Immediately after stenting, a Type II perforation was observed in the ostial RCA, which progressed into the right coronary sinus of Valsalva. As the patient was haemodynamically stable with no ischaemia on ECG, we attempted to seal the ostial RCA with bare metal stents. Two successive bare metal stents failed to seal the aorto-coronary dissection. Ultimately, a 3.0 × 19 mm polytetrafluoroethylene-covered stent was deployed to seal the entry port in the ostial RCA, yielding a satisfactory angiographic result with only minimal contrast staining limited to the right sinus of Valsalva. The patient was closely monitored and discharged on dual antiplatelet therapy comprising of aspirin and prasugrel. He remained asymptomatic and with follow up echocardiograms showing no pericardial effusion nor extension of the dissection. CONCLUSIONS: The polytetrafluoroethylene-covered stent provides a safe and effective means of sealing iatrogenic aorto-coronary dissections complicated by Ellis type II or II perforations, thus avoiding emergency surgery. However, as they are associated with increased incidence of stent thrombosis, an efficient and prolonged post-PCI antiplatelet regimen is recommended.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[St] Status:In-Process
[do] DOI:10.1186/s13104-017-2867-3

  6 / 71826 MEDLINE  
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[PMID]: 28987852
[Au] Autor:Luo G; Mo D; Tong X; Liebeskind DS; Song L; Ma N; Gao F; Sun X; Zhang X; Wang B; Jia B; Fernandez-Escobar A; Miao Z
[Ad] Address:Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China; China National Clinical Research Center for Neurological Diseases Center of Stroke, Beijing, Chi
[Ti] Title:Factors Associated with 90-Day Outcomes of Patients with Acute Posterior Circulation Stroke Treated By Mechanical Thrombectomy.
[So] Source:World Neurosurg;, 2017 Oct 05.
[Is] ISSN:1878-8769
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND AND OBJECTIVE: Early recanalization of acute posterior circulation stroke caused by large intracranial vessel occlusion by mechanical thrombectomy with stent retrievers may improve the outcome of patients. However, evidence of patient selection is still lacking. This study investigated the prognostic factors of acute posterior circulation stroke caused by large intracranial arterial occlusion when treated with stent-retriever thrombectomy. METHODS: A total of 69 patients from March 2012 to November 2016 were included in the study. These patients presented with acute posterior circulation stroke caused by large intracranial vessel occlusion and underwent mechanical thrombectomy with Solitaire AB or combined with additional balloon and/or stenting angioplasty. Baseline characteristics, clinical course, and imaging data of the patients were analyzed. Good clinical outcome (defined as a modified Rankin Scale score of 0-2 at 90 days) and safety outcome (defined as death within 90 days after thrombectomy) were considered as end points. The association between factors with good clinical outcome and safety outcome was evaluated with both logistic regression and receiver operating characteristic curve analyses. RESULTS: Of the 69 patients, mean age was 59 years (standard deviation, 8 years) and men comprised 82.6% (57/69). The median onset-to-treatment time was 360 minutes (interquartile range, 250-537 minutes). The median National Institutes of Health Stroke Scale (NIHSS) score was 25 (interquartile range, 17-30) on admission. Successful recanalization was achieved in 62 of the 69 cases (89.9%) and 36.2% (25/69) were independent at 90 days. Regression analysis showed that stroke subtype (intracranial atherosclerotic disease vs. embolism; odds ratio [OR], 0.101; 95% confidence interval [CI], 0.020-0.501; P = 0.005), baseline NIHSS score (≥22 vs. <22; OR, 0.157; 95% CI, 0.040-0.614; P = 0.008) and posterior circulation Acute Stroke Prognosis Early CT Score (pc-ASPECTS) on diffusion-weighted imaging [DWI] (weighted magnetic resonance imaging) before thrombectomy (≥6 vs. <6; OR, 7.335; 95% CI, 1.495-36.191; P = 0.014) were independent predictive factors of good clinical outcome, respectively at 90 days, whereas high NIHSS score (≥30 vs. <30; OR, 5.569; 95% CI, 1.573-19.716; P = 0.008) and collateral status (≥2 vs. <2; OR, 0.210; 95% CI, 0.059-0.752; P = 0.016) before treatment were associated with mortality at 90 days. Based on receiver operating characteristic curves, baseline NIHSS score (area under the curve [AUC] = 0.779; cutoff, ≥22; P < 0.001; sensitivity, 72%; specificity, 77.3%), pc-ASPECTS on DWI (AUC = 0.820; cutoff, ≥6; P < 0.001; sensitivity, 72%; specificity, 77.3%) before treatment were independent indicators predicting good clinical outcome at 90 days. Increased risk of death by 90 days was associated with baseline NIHSS score (AUC = 0.719; cutoff, ≥30; P = 0.007; sensitivity, 64.7%; specificity, 78.9%) and worse collateral status (AUC = 0.820; cutoff, ≥2; P < 0.001; sensitivity, 58.8%; specificity, 80.8%) before treatment. CONCLUSIONS: Stroke subtype, initial stroke severity, and pc-ASPECTS on DWI as well as collateral status before thrombectomy are independent factors affecting the clinical outcome in patients treated with Solitaire AB thrombectomy for acute posterior circulation stroke caused by large intracranial vessel occlusion.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher

  7 / 71826 MEDLINE  
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[PMID]: 28966325
[Au] Autor:Shiraishi J; Shoji K; Yanagiuchi T; Yashige M; Shikuma A; Ito D; Kimura M; Kishita E; Nakagawa Y; Hyogo M; Sawada T
[Ad] Address:Department of Cardiology, Kyoto First Red Cross Hospital.
[Ti] Title:Rotational Atherectomy Followed by Drug-Coated Balloon Dilation for Left Main In-Stent Restenosis in the Setting of Acute Coronary Syndrome Complicated with Right Coronary Chronic Total Occlusion.
[So] Source:Int Heart J;58(5):806-811, 2017 Oct 21.
[Is] ISSN:1349-3299
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:An 83-year-old man presented with recurrent acute coronary syndrome (ACS) at the left main coronary artery (LMCA) complicated with ostial chronic total occlusion (CTO) in the right coronary artery (RCA) (RCA-CTO). At the first LMCA-ACS approximately 1 year earlier, he had undergone LMCA-crossover stenting with a biolimus-eluting stent in the presence of RCA-CTO. At the second LMCA-ACS, we angiographically confirmed severe in-stent restenosis in the distal LMCA, in addition to angled severe stenosis in the just proximal LCx, and performed primary PCI for the LMCA bifurcation lesion under intra-aortic balloon pumping support. Because of difficulty in crossing a guidewire through the just proximal LCx lesion, we first performed rotational atherectomy against the LMCA in-stent eccentric lesion. After successfully crossing the guidewire into the LCx, we added balloon dilation with kissing balloon inflation followed by alternate drug-coated balloon dilation. An eight-month follow-up coronary angiography revealed no further vessel narrowing in the LMCA bifurcation lesion.
[Mh] MeSH terms primary: Acute Coronary Syndrome/complications
Angioplasty, Balloon, Coronary/instrumentation
Atherectomy, Coronary/methods
Coated Materials, Biocompatible
Coronary Occlusion/surgery
Graft Occlusion, Vascular/therapy
[Mh] MeSH terms secundary: Acute Coronary Syndrome/diagnosis
Acute Coronary Syndrome/surgery
Aged, 80 and over
Coronary Angiography
Coronary Occlusion/diagnosis
Coronary Occlusion/etiology
Coronary Vessels/diagnostic imaging
Graft Occlusion, Vascular/diagnosis
Graft Occlusion, Vascular/etiology
Humans
Male
Prosthesis Design
Ultrasonography, Interventional
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Nm] Name of substance:0 (Coated Materials, Biocompatible)
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[Js] Journal subset:IM
[Da] Date of entry for processing:171002
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-518

  8 / 71826 MEDLINE  
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[PMID]: 28966322
[Au] Autor:Minatsuki S; Hatano M; Maki H; Ando J; Komuro I
[Ad] Address:Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo.
[Ti] Title:The Structure of a Chronic Total Occlusion and Its Safe Treatment in a Patient with Chronic Thromboembolic Pulmonary Hypertension.
[So] Source:Int Heart J;58(5):824-827, 2017 Oct 21.
[Is] ISSN:1349-3299
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:A pouching defect, which is a type of angiographic classification in chronic thromboembolic pulmonary hypertension (CTEPH), is equivalent to a chronic total occlusion (CTO). Thus far, treating CTO involves high risk of the lung bleeding and is difficult because the structure and treating strategy have not been clarified, yet treating it has great potential to improve hemodynamic status and ventilation perfusion mismatch. Here, we describe a case of successfully treated the CTO. In this case, we treated it safely by two balloon pulmonary angiography (BPA) sessions. In first session, the surface of the CTO was partially broken by the catheter. However, the distal vessels of it were not observed. Pulmonary angiogram was performed 4 months later, the distal vessels of CTO were observed. This lesion was no longer the CTO, we performed BPA safely and pulmonary arterial pressure was improved dramatically. Furthermore, pulmonary angiogram revealed the surface of the CTO has a cap which is comprised of cross-aggregation of organized thrombi. Partial breakage of the cap is a key to recanalization of the CTO, even if the distal vessels were not seen in same BPA session.
[Mh] MeSH terms primary: Angioplasty, Balloon/methods
Hypertension, Pulmonary/etiology
Pulmonary Embolism/complications
Stenosis, Pulmonary Artery/complications
[Mh] MeSH terms secundary: Aged
Angiography
Chronic Disease
Female
Humans
Hypertension, Pulmonary/diagnosis
Hypertension, Pulmonary/therapy
Pulmonary Embolism/diagnosis
Pulmonary Embolism/therapy
Stenosis, Pulmonary Artery/diagnosis
Stenosis, Pulmonary Artery/therapy
Tomography, X-Ray Computed
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[Js] Journal subset:IM
[Da] Date of entry for processing:171002
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-494

  9 / 71826 MEDLINE  
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[PMID]: 28777401
[Au] Autor:Lim D; Ho DC; Chen L; Schreve MA; Tan YK; Kum S
[Ad] Address: Vascular Service, Department of Surgery, Changi General Hospital, Singapore - Singapore.
[Ti] Title:Novel use of the ClariVein® catheter for pharmacomechanical thrombolysis of thrombosed hemodialysis grafts: a case series.
[So] Source:J Vasc Access;:0, 2017 Jul 27.
[Is] ISSN:1724-6032
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:INTRODUCTION: The aim of this prospectively collected case series is to demonstrate a novel technique of using the ClariVein® catheter for pharmacomechanical thrombolysis of thrombosed hemodialysis grafts. METHODS: The analysis comprised 11 procedures in 9 patients from 1 July to 31 December 2016 in which the ClariVein catheter was used in combination with urokinase. Demographic data, procedural data, technical and clinical success rates, and complications were evaluated. The primary and secondary patency rates at 1 and 3 months were also analyzed. RESULTS: In the 11 procedures performed, the technical and clinical success was 100%. The mean procedural time was 66.8 minutes (range 50-90 minutes), and the mean amount of urokinase administered was 87,000 units. The primary unassisted patency rates at 1 and 3 months were 81.8% and 63.6%, respectively. The secondary patency rates at 1 and 3 months were 90.9% and 81.8%, respectively. Perforation occurred after balloon angioplasty in 1 (9.1%) of the 11 procedures, for which covered stenting was performed. No major complications occurred. CONCLUSIONS: The combination use of the ClariVein catheter with urokinase for pharmacomechanical thrombolysis in thrombosed hemodialysis grafts is a feasible and safe method that can be performed in a relatively short duration. Our early results have shown 100% technical and clinical success. This case series serves as a platform for an upcoming prospective study to further evaluate this method.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher

  10 / 71826 MEDLINE  
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[PMID]: 28777398
[Au] Autor:Pirozzi N; Scrivano J; Pirozzi R; Cordova E; Punzo G; Menè P
[Ad] Address:Department of Clinical and Molecular Medicine, "Sapienza" University of Rome, Nephrology and Dialysis Unit, Sant'Andrea Hospital, Rome - Italy.
[Ti] Title:Impaired maturation of arteriovenous fistula for haemodialysis due to forearm artery stenosis: percutaneous endovascular treatment.
[So] Source:J Vasc Access;:0, 2017 Aug 02.
[Is] ISSN:1724-6032
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Distal autogenous arteriovenous fistula (dAVF), considered the "gold standard" vascular access for haemodialysis, suffers from a high rate of impaired maturation. One of the usual causes is low-flow associated forearm arterial stenosis. In such cases, endovascular treatment by percutaneous transluminal angioplasty represents a helpful option to enable maturation of the vascular access.Currently, there are few reports concerning the treatment of this complication. Therefore, we describe our single-centre experience based on a retrospective review of prospectively collected data. PATIENTS AND METHODS: We treated 18 consecutive patients from July 2007 to January 2014 (16 radio-cephalic, 2 ulno-basilic distal AVF). A low flow due to forearm artery stenosis was diagnosed by duplex examination, as routinely performed one month after dAVF creation. An anterograde trans-brachial access was used for a 4-mm high-pressure angioplasty of the stenosed artery. RESULTS: All interventions resulted in patent fistulas. Isolated percutaneous transluminal angioplasty (PTA) was required without need of stent placement. Mean blood flow increased from 304 mL/min, preoperatively, to 671 mL/min (p<0.01), as checked one week after the procedure. One-year primary and secondary patency were 84% ±7.3% and 92% ± 9.2%, respectively. Under no circumstances did access-induced distal ischemia occurred during follow-up. CONCLUSIONS: Endovascular approach is a helpful and minimally invasive procedure for treatment of delayed maturation of dAVF related to forearm artery stenosis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher


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