Transluminal angioplasty of venous stenoses in polytetrafluoroethylene vascular access grafts.
Journal Article
Since 1984, percutaneous transluminal angioplasty (PTA) utilizing high pressure balloon catheters has been used as an initial approach to restore patency of PTFE (polytetrafluoroethylene, GORE-TEX) hemodialysis vascular access grafts. Seventeen stenotic lesions detected by fistulogram underwent elective PTA. Twelve of these lesions were detected after thrombectomy and five were detected because of increased venous pressures during dialysis. Fourteen attempts at PTA were completely successful in restoring functional patency to the vascular graft. Three attempts were unsuccessful; two of these three grafts were subsequently repaired surgically. Venous stenoses that extended far greater than 6 cm were not considered for PTA. We conclude that PTA is a technique of promise in the non-surgical salvage of failing PTFE grafts. PTA can prolong the useful life of PTFE vascular access grafts and can be performed on an outpatient basis, eliminating the hospitalization that is usually required for surgical revision.
Full Text
Duke Authors
Cited Authors
- Schwab, SJ; Saeed, M; Sussman, SK; McCann, RL; Stickel, DL
Published Date
- September 1987
Published In
Volume / Issue
- 32 / 3
Start / End Page
- 395 - 398
PubMed ID
- 2959813
Pubmed Central ID
- 2959813
International Standard Serial Number (ISSN)
- 0085-2538
Digital Object Identifier (DOI)
- 10.1038/ki.1987.223
Language
- eng
Conference Location
- United States