Stent Graft Outcomes in Dialysis Circuits: A Review of Clinical Trials and Literature.

Autor:	Pourmoussa AJ; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida., Mahendra AM; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida., Peña CS; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida.; Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida., Powell A; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida., Schiro BJ; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida., Herrera R; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida.; Department of Medical and Health Science Research, Florida International University Herbert Wertheim College of Medicine, Miami, Florida., Katzen BT; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida.; Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida., Narayanan G; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida.; Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida., Niekamp AS; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida., Gandhi RT; Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida.; Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida.
Jazyk:	angličtina
Zdroj:	Seminars in interventional radiology [Semin Intervent Radiol] 2022 Feb 18; Vol. 39 (1), pp. 75-81. Date of Electronic Publication: 2022 Feb 18 (Print Publication: 2022).
DOI:	10.1055/s-0042-1742390
Abstrakt:	End-stage renal disease is a prevalent medical condition causing significant problems as the majority of patients are being treated with dialysis. While dialysis provides a means to compensate for the renal impairment, arteriovenous grafts and fistulas are often complicated by neointimal hyperplasia, loss of primary patency, and graft failure. Over the last decade, stent grafts have emerged as an alternative to balloon angioplasty and bare metal stents for revascularization in the event of arteriovenous graft occlusion or stenosis. Several randomized controlled trials have investigated the efficacy of stent grafts compared with balloon angioplasty for improving the function and durability of dialysis circuits. In this review, we present a comprehensive review of clinical trials. Stent grafts appear to offer increased primary patency over balloon angioplasty in the treatment of dialysis circuit stenosis. However, there is generally no significant difference between the two treatment modalities on other clinically relevant measures like complication rates and overall survival. Competing Interests: Conflicts of Interest C.S.P. is a consultant for Cordis, Avanos, Philips Medical; is on the advisory boards for Boston Scientific, Venture Med, and Surmodics; is a speaker for Abott Medical, Bard, Sirtex, Terumo, Penumbra, Shockwave, and Cook Medical; is an investor in Cagent Medical and Integrity Spine; and CEC: Micromedex and Intact Vascular. B.J.S. is a consultant and speaker for Medtronic, Penumbra, and Philips. R.T.G. is a consultant for Medtronic, Bard, and Cordis. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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