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Interventional radiology in haemodialysis fistulae and graftsŠurlan, Miloš, 1936- ; Popović, Peter, 1946-Background. The aim of the paper is to review the role of interventional radiology in the management of haemodialysis vascular access. The evaluation of patients with haemodialysis vascular access is ... complex. It includes the radiology/ultrasound evaluation of the peripheral veins of the upper extremities with venous mapping and the evaluation of the central vein prior to the access placement and radiological detection and treatment of the stenosis and thrombosis in misfunctional dialysis fistulas. Preoperative screening enables the identification of a suitable vessel to create a haemodynamically-sound dialysis fistula. Clinical and radiological detection of the haemodynamieally significant stenosis or occlusion demands fistulography and endovascular treatment. Endovascular prophylactic dilatationof stenosis greater than 50% with associated clinical abnormalities such as flow-rate reduction is warranted to prolong access patency. The technical success rates are over 90% for dilatation. One-year primary patency rate in forearm fistula is 51%, versus graft 40. Stents are placed only in selected cases; routinely in central vein after dilatation, in ruptured vein and elastic recoil. Conclusions. Thrombosed fistula and grafts can be deelotted by purely mechanical methods or in combination with a lytic drug. The success rate of the technique is 89-90%. Primary patency rate is 8% to 26%per year and secondary 75% per year.Vir: Radiology and oncology. - ISSN 1318-2099 (Vol. 38, no. 4, dec. 2004, str. 299-308)Vrsta gradiva - članek, sestavni delLeto - 2004Jezik - angleškiCOBISS.SI-ID - 19026137
Avtor
Šurlan, Miloš, 1936- |
Popović, Peter, 1946-
Teme
Radiology, Interventional |
Hemodialysis |
Kidney Failure, Chronic |
Catheters, Indwelling |
Vascular Patency |
Catheterization, Central Venous |
Thrombosis |
Arteriovenous Shunt, Surgical |
Angioplasty, Balloon |
Thrombectomy |
Katetri, vstavljanje |
Ledvica, odpoved kronična |
Radiologija intervencijska |
Žila, prehodnost |
Angioplastika balonska |
Arteriovenski obvoz kirurški |
Kateterizacija centralno venska |
Trombektomija |
Tromboza |
ledvične bolezni |
zdravljenje |
hemodializa |
katetri |
ožilje |
venski katetri |
radiologija
Vnos na polico
Trajna povezava
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Šurlan, Miloš, 1936- | 11135 |
Popović, Peter, 1946- | 07639 |
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