Abstract
Flexible tantalum stents (Strecker) were used as an adjunct to percutaneous transluminal angioplasty (PTA) in the treatment of stenotic arterial or venous limbs of Brescia-Cimino hemodialysis fistulas. The diagnostic procedure was performed using retrograde fistulography. After PTA with unsatisfactory results, stents were placed in 5 patients with significant residual stenoses and poor fistula function. Within the mean follow-up period of 6.4 months (range 3–10 months) all fistulas were functioning. We conclude that Strecker stent is useful in the treatment of stenotic hemodialysis arteriovenous fistulas as an adjunct to PTA.
Similar content being viewed by others
References
Palder SB, Kirkman RL, Whittemore AD, Hakim RM, Lazarus JM, Tilney NL (1985) Vascular access for hemodialysis: Patency rates and results of revision. Ann Surg 2:235–239
Picus D, van Breda A, Katzen B, Steinberg DI (1987) Use of digital subtraction angiography for evaluation of vascular access for hemodialysis. Cardiovasc Intervent Radiol 10:210–214
Bryan FA (1975) Seventh Annual Progress Report: Oct 1, 1974–Oct 1, 1975. Report No. AK-7-7-1387, Research Triangle Institute, Triangle Park, NC The National Dialysis Registry-Artificial Kidney-Chronic Uremia Program, Bethesda MD, National Institute of Health
Butt KHM (1978) Blood access. Clin Nephrol 9:138–143
Giacchino JL, Geis WP, Buckingham JM, Vertuno LL, Bansal VK (1979) Vascular access: Long-term results, new techniques. Arch Surg 114:403–409
Zijlstra JJ (1989) Percutaneous transluminal angioplasty in vascular access for hemodialysis. Thesis. Rijksuniversity, Utrecht, Holland, 1–121
Saeed M, Newmann GE, McCann RL, Sussman SK, Braun SD, Dunnick NR (1987) Stenosis in dialysis fistulas: Treatment with percutaneous angioplasty. Radiology 164:693–697
Zeit RM, Cope C (1985) Failed hemodialysis shunts: One year of experience with aggressive treatment. Radiology 154:353–356
Staple TW (1973) Retrograde venography of subcutaneous arteriovenous fistulas created surgically for hemodialysis. Radiology 106:223–224
Günther RW, Vorwerk D, Bohndorf K, Klose KC, Kistler D, Mann H, Sieberth HG, El-Din A (1989) Venous stenoses in dialysis shunts: Treatment with self-expanding metallic stents. Radiology 170:401–405
Palmaz JC (1988) Balloon expandable intravascular stent. AJR 150:1263–1269
Maas D, Zollikofer CL, Largiader, Senning A (1984) Radiological follow-up of a transluminally inserted vascular endoprosthesis: An experimental study using expanding spirals. Radiology 152:659–663
Wright KC, Wallace S, Charnsangavej CH, Carrasco CH, Gianturco C (1985) Percutaneous endovascular stents: An experimental evaluation. Radiology 156:69–72
Strecker EP, Liermann D, Barth KH, Wolf HRD, Freudenberg N, Berg G, Westphal M, Tsikuras P, Savin M, Schneider B (1990) Expandable tubular stents for treatment of arterial occlusive disease: Experimental and clinical results. Radiology 175:97–102
Zollikofer CL, Largiader I, Bruhleman W, Uhlschmid GK, Marty AH (1988) Endovascular stenting of veins and grafts: Preliminary clinical experience. Radiology 167:707–712
Antonucci F, Zollikofer CL, Salomonowitz E, Hugentobler M, Stuckmann G (1990) Stenotic veins, grafts and dialysis shunts: Treatment with self-expanding prosthesis. Radiology 177:145
Quinn ST, Schuman ES, Gross GF, Standape BA, Uchiba B, Rösch J, Ivancev K, Hall L (1990) Endovascular expandable stents in the treatment of venous stenoses in hemodialysis patients. Preliminary results. Radiology 177:237
Barth KH, Virmani R, Strecker EP, Savin MA, Lindish D, Matsumoto AH, Teitelbaum GP (1990) Flexible tantalum stents implanted in aortas and iliac arteries: Effects in normal canines. Radiology 175:91–96
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Petar, B., Tomislav, I., Miodrag, I. et al. Strecker stent in stenotic hemodialysis Brescia-Cimino arteriovenous fistulas. Cardiovasc Intervent Radiol 15, 217–220 (1992). https://doi.org/10.1007/BF02733925
Issue Date:
DOI: https://doi.org/10.1007/BF02733925