Time ‐extended local rtPA infiltration for acutely thrombosed hemodialysis fistulas

Conclusion The modified L&W technique with prolonged local rtPA reaction times is a safe and effective declotting procedure. The need for TCP was not increased and therefore comparable to the standard technique.
Source: Hemodialysis International - Category: Hematology Authors: Tags: Original Article Source Type: research

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Owing to the lack of comparative evidence between the endovascular technologies for arteriovenous fistula (AVF) stenosis treatments, we sought to summarize the reported data comparing the effectiveness of different endovascular approaches for the treatment of AVF stenoses at the juxta-anastomotic site.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Review article Source Type: research
Vascular access issues are an important cause of morbidity within the hemodialysis population, with significant associated health care costs related to dialysis access stenosis. Previous studies have demonstrated the beneficial role of endovascular drug coated balloon angioplasty (DCB) procedures in de novo hemodialysis access stenosis complications. However, there is limited data that directly compares the longevity of DCB and plain old balloon angioplasty (POBA) interventions in stenotic hemodialysis access lesions in patients with single preceding POBA intervention.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific Session 2 Source Type: research
To determine the efficacy and outcome of percutaneous angioplasty (PTA) of palmar arch in patients with radiocephalic arteriovenous fistulas (AVFs) with occluded feeding artery
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific e-Poster Source Type: research
Venous thrombosis in a pediatric population can be multifactorial such as secondary to extrinsic compression syndromes: Paget-Schroetter syndrome, May-Thurner syndrome (iliac vein thrombosis), hypercoagulable state, PICC or other central venous catheters and can also occur in patients with arteriovenous fistulae or grafts in patients requiring long-term hemodialysis. DVT affects 0.07-0.14 in 10,000 children annually;58 per 10,000 in hospitalized children. Catheter-directed thrombolysis (CDT), venous angioplasty, stent placement, and mechanical thrombectomy are used to treat both acute and chronic venous thrombosis.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific e-Poster Source Type: research
We present our experience using the VIATORR stent graft (Gore  VIATORR TIPS Endoprosthesis) to treat stenosis and/or occlusion at the thoracic outlet and central veins in hemodialysis patients.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific e-Poster Source Type: research
AbstractThe dynamic coronary roadmap (DCR) is a novel technology that creates a dynamic, motion-compensated, real-time overlay of the coronary arteries on a fluoroscopic image. Whether the DCR reduces contrast volume and enables safe and effective treatment was examined. A total of 146 patients undergoing percutaneous coronary intervention (PCI) from June 2017 to September 2017 in our hospital were retrospectively evaluated. Chronic total occlusion lesions, acute coronary syndrome, and hemodialysis patients were excluded. Patients were divided into the control group (PCI without DCR, 92 patients, 103 lesions) and the DCR g...
Source: Heart and Vessels - Category: Cardiology Source Type: research
This study aimed to elucidate the effect of RT on clinical outcomes after PCI. Renal transplant recipients who underwent PCI from 2002 to 2017 were enrolled. To evaluate the effectiveness of RT, we retrospectively reviewed HD patients who underwent PCI. Propensity-score matching was performed using logistic regression to control for differences in baseline characteristics.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
ConclusionsDrug-coated balloon angioplasty resulted in superior survival of dysfunctional peripheral vascular access at 6 and 12  months, but this result was not statistically significant. Both arms show equivalent complications and similar mortality.Level of EvidenceLevel Ia, therapeutic study, RCT. EBM ratings will be based on a scale of 1-5.
Source: CardioVascular and Interventional Radiology - Category: Radiology Source Type: research
This study aimed to investigate the severity of coronary artery disease (CAD) in patients with ATX. METHODS: A total of 394 patients with CAD undergoing percutaneous coronary intervention (PCI) at Chiba University Hospital between June 2016 and February 2018 were enrolled. Soft X-ray radiography of Achilles tendon was performed, and a maximum thickness of 9 mm or more was regarded as ATX. Heterozygous FH was diagnosed according to the diagnostic criteria proposed by the Japan Atherosclerosis Society in 2017. CAD severity was assessed by SYNTAX score before the first PCI during the study period. RESULTS: There wer...
Source: Journal of Cardiology - Category: Cardiology Authors: Tags: J Cardiol Source Type: research
Abstract Since the amount of contrast media during percutaneous coronary intervention (PCI) is closely related to the exacerbation of renal function, it should be important to reduce the dose of contrast media during PCI. The purpose of this retrospective study was to evaluate the association of less-contrast media with clinical factors in elective PCI. A total of 709 patients were divided into the less-contrast media group (n = 142) and the conventional-contrast media group (n = 567) according to the quintile of total contrast volume. Univariate and multivariate logistic regression analyses w...
Source: Heart and Vessels - Category: Cardiology Source Type: research
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