Balloon catheter dilatation in patients with failing arteriovenous fistulas. 1981

P F Lawrence, and F J Miller, and E Mineaud

Six patients on hemodialysis who had stenotic segments of failing arteriovenous fistulas underwent attempted dilatations with a Grüntzig balloon catheter. In three patients the dilatation was successful: two fistulas were still functioning at the time of this study (10 and 8 months), and one fistula functioned up to the patient's death (2 months). Dilatation was unsuccessful in two patients because the stenosis located adjacent to the arteriovenous anastomosis could not be approached with the balloon. There were no complications secondary to the technique, and the dilatation attempt did not preclude surgical revision when it failed. This technique, which can be performed in ambulatory patients, provides an alternative to surgical revision of the failing arteriovenous fistula.

UI MeSH Term Description Entries
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D003251 Constriction, Pathologic The condition of an anatomical structure's being constricted beyond normal dimensions. Stenosis,Stricture,Constriction, Pathological,Pathologic Constriction,Constrictions, Pathologic,Pathologic Constrictions,Pathological Constriction,Stenoses,Strictures
D004106 Dilatation The act of dilating. Dilation,Dilatations,Dilations
D005542 Forearm Part of the upper extremity in humans and primates extending from the ELBOW to the WRIST. Antebrachium,Antebrachiums,Forearms
D006435 Renal Dialysis Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION. Dialysis, Extracorporeal,Dialysis, Renal,Extracorporeal Dialysis,Hemodialysis,Dialyses, Extracorporeal,Dialyses, Renal,Extracorporeal Dialyses,Hemodialyses,Renal Dialyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001166 Arteriovenous Shunt, Surgical Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed) Shunt, Surgical Arteriovenous,Surgical Arteriovenous Shunt,Arteriovenous Shunts, Surgical,Shunts, Surgical Arteriovenous,Surgical Arteriovenous Shunts

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