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Clinical experience with ultrasound guided angioplasty for vascular access. | LitMetric

Clinical experience with ultrasound guided angioplasty for vascular access.

Kidney Res Clin Pract

Division of Nephrology, Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University College of Medicine, Changwon, Korea.

Published: March 2017

AI Article Synopsis

Article Abstract

Background: The use of ultrasound guided percutaneous transluminal angioplasty (UG-PTA), which use ultrasound as an imaging modality, is an evolving strategy. But, in Korea, this method is rarely used. We report our experiences with UG-PTA with respect to technical success rates and complication rates compared to conventional PTA (C-PTA), performed between 2010 and 2015 at Samsung Changwon Hospital, Korea.

Methods: In our series, 53 cases of UG-PTA and 90 cases of C-PTA were reviewed, respectively. Cases of central vein stenosis, cephalic arch stenosis, arterial stenosis and thrombosis were excluded. However, cases of juxta-anastomotic stenosis and outflow vein stenosis were included.

Results: Technical success was achieved in 96.2% (51 of 53) of cases in the UG-PTA group and in 93.3% (84 of 90) of cases in the C-PTA group, respectively ( = 0.710). Technical failure was experienced in a total 8 cases (UG-PTA group: 2/53, 3.8%; C-PTA group: 6/90, 6.7%). No differences were observed in complications.

Conclusion: Duplex ultrasound-guided angioplasty for dialysis access in the outpatient setting is feasible, safe, and effective for peripheral venous stenotic lesions. It offers many advantages over conventional angiographic procedures, and, in the future, it has great potential to play a significant role in the management of these challenging patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331978PMC
http://dx.doi.org/10.23876/j.krcp.2017.36.1.79DOI Listing

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