Professional paper
Percutaneous angioplasty for resolving stenoses of arteriovenous fistulas for hemodialysis – experience with the first ten patients
Lovro Tkalčić
; Klinički zavod za radiologiju, KBC Rijeka, Rijeka
Stela Živčić-Ćosić
; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, KBC Rijeka, Rijeka
Slavica Kovačić
; Klinički zavod za radiologiju, KBC Rijeka, Rijeka
Siniša Knežević
; Klinički zavod za radiologiju, KBC Rijeka, Rijeka
Berislav Budiselić
; Klinički zavod za radiologiju, KBC Rijeka, Rijeka
Dean Markić
; Klinika za urologiju, KBC Rijeka, Rijeka
Edita Vojnović
; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, KBC Rijeka, Rijeka
Dimitrij Kuhelj
; Klinični inštitut za radiologijo, UKC Ljubljana, Ljubljana
Damir Miletić
; Katedra za radiologiju, Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Abstract
Aim: To present team approach in resolving arteriovenous (AV) fistula malfunction in patients on chronic hemodialysis and our results during the six months follow-up. Patients and methods: Ten patients with AV fistula malfunction were presented to our multidisciplinary team, that includes a nephrologist, radiolgist and urologist. Clinical manifestations were inadequate blood flow rate and / or high venous pressure during dialysis, blood clotting in the extracorporal circuit, longer bleeding after puncture, pain in the arm, arm sweeling or non-maturation of AV fistula. In all patients fistulography was performed with immediate endovascular therapy and dialysis, if applicable. Results: Fistulography showed a variety of pathological findings in arterial and venous segments. In the majority of patients the clinical outcome was successful, allowing a much higher blood flow rate and successful dialytic treatment. Conclusions: Although the patient group was small, we observed significant clinical benefits as a result of close team-work between different specialities.
Keywords
arteriovenous fistula; complications; endovascular procedures; haemodialysis
Hrčak ID:
158519
URI
Publication date:
1.6.2016.
Visits: 2.624 *