Department of Vascular Surgery, General Hospital of Hellenic Air Force, Athens, Greece
Review Article
Evaluation of percutaneous coronary angioplasty in hemodialysis fistula
Author(s): Ioannis Bountouris*
The number of dialysis patients is increasing every year. In this review, we will
evaluate the role of Percutaneous Angioplasty (PTA) in relation to arterio venous
fistula and graft potential. The main indication for PΤΑ is > 50% stenosis or lumen
obstruction of the arterio venous fistula and graft. It is usually performed under
local anaesthesia. The infection rate is as low as the number of complications.
Fistulas can be used for dialysis during the day without a central venous catheter.
Primary ventilation > 50% in the first year while the main ventilation supported is
80-90% during the same period. The repeat PTA is as stable as the primary PTA.
Early PTA carries the risk of requiring further intervention. Bubble cup can be
used as a second line method. Stents and coated stents are retained to control
complications and central venous s.. View More»
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