Advanced Stent Graft Treatment of Venous Stenosis Affecting Hemodialysis Vascular Access: Case Illustrations

 

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Abstract

Surgically placed dialysis access is an important component of dialysis replacement therapy. The vast majority of patients undergoing dialysis will have surgically placed accesses at some point in the course of their disease, and for many patients these accesses may represent their definitive renal replacement option. Most, if not all, arteriovenous fistulae and grafts will require interventions at some point in time. Percutaneous angioplasty is the typical first treatment performed for venous stenoses, with stents and stent grafts being reserved for patients in whom angioplasty and surgical options are exhausted. In some salvage situations, stent graft placement may be the only or best option for patients. This article describes, using case illustrations, placement of stent grafts in such patients; a focus will also be made on the techniques utilized in such salvage situations.

• References

• 1 Haskal ZJ, Trerotola S, Dolmatch B , et al. Stent graft versus balloon angioplasty for failing dialysis-access grafts. N Engl J Med 2010; 362 (6) 494-503
  CrossrefPubMedGoogle Scholar
• 2 Vesely T, DaVanzo W, Behrend T, Dwyer A, Aruny J. REVISE clinical trial. Presented at American Society of Diagnostic and Interventional Nephrology, 10th Annual Scientific Meeting, Phoenix, AZ, February 2014
  PubMedGoogle Scholar
• 3 Sadaghianloo N, Jean-Baptiste E, Gaid H , et al. Early surgical thrombectomy improves salvage of thrombosed vascular accesses. J Vasc Surg 2014; 59 (5) 1377-84.e1 , 2
  CrossrefPubMedGoogle Scholar
• 4 Patanè D, Giuffrida S, Morale W , et al. Drug-eluting balloon for the treatment of failing hemodialytic radiocephalic arteriovenous fistulas: our experience in the treatment of juxta-anastomotic stenoses. J Vasc Access 2014; 15 (5) 338-343
  CrossrefPubMedGoogle Scholar
• 5 Ulloa JG, Kirkpatrick VE, Wilson SE, Williams RA. Stent salvage of arteriovenous fistulas and grafts. Vasc Endovascular Surg 2014; 48 (3) 234-238
  CrossrefPubMedGoogle Scholar
• 6 Davila Santini L, Etkin Y, Nadelson AJ, Safa T. Stent-grafts improve secondary patency of failing hemodialysis grafts. J Vasc Access 2012; 13 (1) 65-70
  CrossrefPubMedGoogle Scholar
• 7 De Marco Garcia LP, Davila-Santini LR, Feng Q, Calderin J, Krishnasastry KV, Panetta TF. Primary balloon angioplasty plus balloon angioplasty maturation to upgrade small-caliber veins (<3 mm) for arteriovenous fistulas. J Vasc Surg 2010; 52 (1) 139-144
  CrossrefPubMedGoogle Scholar
• 8 De Rango P, Parente B, Cieri E , et al. Percutaneous approach in the maintenance and salvage of dysfunctional autologous vascular access for dialysis. J Vasc Access 2012; 13 (3) 381-387
  CrossrefPubMedGoogle Scholar
• 9 Dolmatch BL, Duch JM, Winder R , et al. Salvage of angioplasty failures and complications in hemodialysis arteriovenous access using the FLUENCY Plus Stent Graft: technical and 180-day patency results. J Vasc Interv Radiol 2012; 23 (4) 479-487
  CrossrefPubMedGoogle Scholar
• 10 Kakisis JD, Avgerinos E, Giannakopoulos T, Moulakakis K, Papapetrou A, Liapis CD. Balloon angioplasty vs nitinol stent placement in the treatment of venous anastomotic stenoses of hemodialysis grafts after surgical thrombectomy. J Vasc Surg 2012; 55 (2) 472-478
  CrossrefPubMedGoogle Scholar
• 11 Anaya-Ayala JE, Smolock CJ, Colvard BD , et al. Efficacy of covered stent placement for central venous occlusive disease in hemodialysis patients. J Vasc Surg 2011; 54 (3) 754-759
  CrossrefPubMedGoogle Scholar
• 12 Funaki B. Prophylactic angioplasty of failing hemodialysis shunts. Semin Intervent Radiol 2007; 24 (1) 130-133
  Article in Thieme ConnectPubMedGoogle Scholar
• 13 Kariya S, Tanigawa N, Kojima H , et al. Percutaneous transluminal cutting-balloon angioplasty for hemodialysis access stenoses resistant to conventional balloon angioplasty. Acta Radiol 2006; 47 (10) 1017-1021
  CrossrefPubMedGoogle Scholar
• 14 Lorenz JM. Use of stents for the maintenance of hemodialysis access. Semin Intervent Radiol 2004; 21 (2) 135-140
  Article in Thieme ConnectPubMedGoogle Scholar
• 15 Available at: https://www.kidney.org/sites/default/files/docs/12-50-0210_jag_dcp_guidelines-hd_oct06_sectiona_ofc.pdf . Accessed December 2015
  PubMed
• 16 Mohr BA, Sheen A, Rodriguez A, Vesely T. Economic evaluation of the Viabahn stent-graft vs. angioplasty for hemodialysis graft stenosis: evidence from a revise clinical trial. Abstract 16, Presented at the Society of Interventional Radiology Annual Meeting, Atlanta, GA; March 2015
  PubMedGoogle Scholar
• 17 Webb KM, Cull DL, Carsten III CG, Johnson BL, Taylor SM. Outcome of the use of stent grafts to salvage failed arteriovenous accesses. Ann Vasc Surg 2010; 24 (1) 34-38
  CrossrefPubMedGoogle Scholar
• 18 Yevzlin A, Asif A. Stent placement in hemodialysis access: historical lessons, the state of the art and future directions. Clin J Am Soc Nephrol 2009; 4 (5) 996-1008
  CrossrefPubMedGoogle Scholar
• 19 Ahmed O, Patel M, Ginsburg M, Jilani D, Funaki B. Effectiveness of collateral vein embolization for salvage of immature native arteriovenous fistulas. J Vasc Interv Radiol 2014; 25 (12) 1890-1894
  CrossrefPubMedGoogle Scholar
• 20 Powell S, Chan T. Endovascular techniques for cannulation difficulties in dialysis access. J Vasc Access 2014; 15 (Suppl. 07) S96-S100
  CrossrefPubMedGoogle Scholar
• 21 Nikam M, Popuri RK, Inaba A , et al. Arteriovenous fistula failure: is there a role for accessory draining vein embolization?. J Vasc Access 2012; 13 (4) 498-503
  PubMedGoogle Scholar
• 22 Zangan SM, Falk A. Optimizing arteriovenous fistula maturation. Semin Intervent Radiol 2009; 26 (2) 144-150
  Article in Thieme ConnectPubMedGoogle Scholar
• 23 Agarwal AK, Thakkar A, Haddad NJ. How is arteriovenous fistula longevity best prolonged?: The role of percutaneous balloon angioplasty. Semin Dial 2015; 28 (1) 27-29
  CrossrefPubMedGoogle Scholar
• 24 Yevzlin AS, Melnick DM. How is arteriovenous fistula longevity best prolonged?: The role of endovascular stents. Semin Dial 2015; 28 (1) 29-32
  CrossrefPubMedGoogle Scholar
• 25 Kinning AJ, Becker RW, Fortin GJ, Molnar RG, Dall'Olmo CA. Endograft salvage of hemodialysis accesses threatened by pseudoaneurysms. J Vasc Surg 2013; 57 (1) 137-143
  CrossrefPubMedGoogle Scholar
• 26 Shemesh D, Goldin I, Zaghal I, Berelowitz D, Verstandig AG, Olsha O. Stent graft treatment for hemodialysis access aneurysms. J Vasc Surg 2011; 54 (4) 1088-1094
  CrossrefPubMedGoogle Scholar
• 27 Bittl JA. Venous rupture during percutaneous treatment of hemodialysis fistulas and grafts. Catheter Cardiovasc Interv 2009; 74 (7) 1097-1101
  CrossrefPubMedGoogle Scholar
• 28 Niyyar VD, Moossavi S, Vachharajani TJ. Cannulating the hemodialysis access through a stent graft - is it advisable?. Clin Nephrol 2012; 77 (5) 409-412
  CrossrefPubMedGoogle Scholar
• 29 Available at: http://www.goremedical.com/resources/dam/assets/AL0347EN3.V3H.FAQ.BRO.FNL.M.-pdf . Accessed October 30, 2015
  PubMed
• 30 Mallios A, Costanzo A, Boura B , et al. Long-term preservation of native arteriovenous dialysis fistulas. Ann Vasc Surg 2014; 28 (3) 749-755
  CrossrefPubMedGoogle Scholar
• 31 Shawyer A, Fotiadis NI, Namagondlu G , et al. Cephalic arch stenosis in autogenous haemodialysis fistulas: treatment with the Viabahn stent-graft. Cardiovasc Intervent Radiol 2013; 36 (1) 133-139
  CrossrefPubMedGoogle Scholar
• 32 Peden EK. Role of stent grafts for the treatment of failing hemodialysis accesses. Semin Vasc Surg 2011; 24 (2) 119-127
  CrossrefPubMedGoogle Scholar
• 33 Pan HB, Liang HL, Lin YH , et al. Metallic stent placement for treating peripheral outflow lesions in native arteriovenous fistula hemodialysis patients after insufficient balloon dilatation. AJR Am J Roentgenol 2005; 184 (2) 403-409
  CrossrefPubMedGoogle Scholar
• 34 Hoffer EK, Sultan S, Herskowitz MM, Daniels ID, Sclafani SJ. Prospective randomized trial of a metallic intravascular stent in hemodialysis graft maintenance. J Vasc Interv Radiol 1997; 8 (6) 965-973
  CrossrefPubMedGoogle Scholar
• 35 Urschel Jr HC, Patel AN. Surgery remains the most effective treatment for Paget-Schroetter syndrome: 50 years' experience. Ann Thorac Surg 2008; 86 (1) 254-260 , discussion 260
  CrossrefPubMedGoogle Scholar
• 36 Urschel Jr HC, Patel AN. Paget-Schroetter syndrome therapy: failure of intravenous stents. Ann Thorac Surg 2003; 75 (6) 1693-1696 , discussion 1696
  CrossrefPubMedGoogle Scholar
• 37 Mohr PJ, Oyama JK, Luu JT, Stinis CT. Clinical outcomes of endovascular treatment of TASC-II C and D femoropopliteal lesions with the Viabahn endoprosthesis. Cardiovasc Revasc Med 2015; 16 (8) 465-468
  PubMedGoogle Scholar