A recent randomized clinical trial concluded that implantation of a stent graft plus angioplasty was superior to angioplasty alone for the treatment of stenosis at the venous anastomosis of an arteriovenous graft. However, concerns regarding the reliability of the results of this trial suggest that additional investigations are necessary.
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References
Haskal, Z. J. et al. Stent graft versus balloon angioplasty for failing dialysis-access grafts. N. Engl. J. Med. 362, 494–503 (2010).
Asif, A. et al. Inflow stenosis in arteriovenous fistulas and grafts: a multicenter, prospective study. Kidney Int. 67, 1986–1992 (2005).
Vascular Access Work Group. Clinical practice guidelines for vascular access. Am. J. Kidney Dis. 48, S176–S247 (2006).
Quinn, S. F. et al. Percutaneous transluminal angioplasty versus endovascular stent placement in the treatment of venous stenoses in patients undergoing hemodialysis: intermediate results. J. Vasc. Interv. Radiol. 6, 851–855 (1995).
Beathard, G. A. Gianturco self-expanding stent in the treatment of stenosis in dialysis access grafts. Kidney Int. 43, 872–877 (1993).
Vesely, T. M. & Siegel, J. B. Use of the peripheral cutting balloon to treat hemodialysis-related stenoses. J. Vasc. Interv. Radiol. 16, 1593–1603 (2005).
U. S. Food and Drug Administration. Summary of Safety and Effectiveness Data [online], (2007).
Beathard, G. A. Interventionalist's role in identifying candidates for secondary fistulas. Semin. Dial. 17, 233–236 (2004).
Slayden, G. C., Spergel, L. & Jennings, W. C. Secondary arteriovenous fistulas: converting prosthetic AV grafts to autogenous dialysis access. Semin. Dial. 21, 474–482 (2008).
Salman, L. et al. Secondary autogenous arteriovenous fistulas in the “fistula first” era: results of a longterm prospective study. J. Am. Coll. Surg. 209, 100–105 (2009).
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Definitions used in Haskal et al.'s study (DOC 44 kb)
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Salman, L., Asif, A. The stent graft for stenosis: let's appraise before we praise. Nat Rev Nephrol 6, 503–504 (2010). https://doi.org/10.1038/nrneph.2010.80
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DOI: https://doi.org/10.1038/nrneph.2010.80
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