[The percutaneous transluminal angioplasty of Brescia-Cimino arteriovenous fistulae. An evaluation of the results].

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  • Additional Information
    • Transliterated Title:
      L'angioplastica transluminale percutanea delle fistole artero-venose di Brescia-Cimino. Valutazione dei risultati.
    • Source:
      Publisher: Springer Milan Country of Publication: Italy NLM ID: 0177625 Publication Model: Print Cited Medium: Print ISSN: 0033-8362 (Print) Linking ISSN: 00338362 NLM ISO Abbreviation: Radiol Med Subsets: MEDLINE
    • Publication Information:
      Publication: Milan : Springer Milan
      Original Publication: Torino [etc.] Minerva medica.
    • Subject Terms:
      Angioplasty, Balloon*/methods ; Arteriovenous Shunt, Surgical*; Forearm/*blood supply ; Graft Occlusion, Vascular/*therapy; Adult ; Aged ; Angiography, Digital Subtraction ; Arteries ; Female ; Graft Occlusion, Vascular/diagnostic imaging ; Humans ; Male ; Middle Aged ; Recurrence ; Renal Dialysis ; Ultrasonography ; Veins
    • Abstract:
      The average patency time after creating an endogenous arteriovenous Brescia-Cimino fistula for hemodialysis is limited. May 1990 through October 1992, 29 PTAs were performed in 23 patients with malfunctioning hemodialysis Brescia-Cimino fistulas of the forearm, by cannulation of the venous anastomotic branch and by balloon catheter dilatation. Thirty-six venous stenoses, 7 arterial anastomotic stenoses and 1 venous occlusion were treated. In 5 patients a second dilatation became necessary due to recurrent fistula malfunction after a mean period of 5 months. Twenty-eight of 29 PTAs (96%) were immediately successful. The primary patency rates were 79% at 6 months, 61% at 1 year and 61% again at 2 years. The secondary patency rates were 90%, 83% and 83%, respectively. Three post-PTA fistula thromboses (10%) were observed: two of them were successfully treated by local fibrinolysis while in the extant case a new A-V shunt was created. In our opinion, PTA is the treatment of choice for malfunctioning Brescia-Cimino fistulas; the incidence of complications was low in our series.
    • Publication Date:
      Date Created: 19940101 Date Completed: 19940413 Latest Revision: 20161123
    • Publication Date:
      20221213
    • Accession Number:
      8128016