Marie-Antoinette Rey Meyer
Switzerland
Research Article
Dialysis Access: Percutaneous Endovascular Interventions under Sonographic Guidance Alone
Author(s): Daniel Périard, Marie-Antoinette Rey Meyer, Ould Mahoud Hemett, Jean-Jacques Mottet, Olivier Phan, Rolf P Engelberger and Daniel HayozDaniel Périard, Marie-Antoinette Rey Meyer, Ould Mahoud Hemett, Jean-Jacques Mottet, Olivier Phan, Rolf P Engelberger and Daniel Hayoz
Purpose: Prosthetic shunts or native arteriovenous fistulas (AVFs) often require surgical or percutaneous endovascular interventions to correct stenosis or remove thrombosis. Catheterizations usually require radiation and iodinated contrast medium. Sonography and color-Doppler provide reliable images and measurement of dialysis access anatomy and volume flow, and have therefore a great potential to allow dialysis access percutaneous interventions in simple examination rooms without any contrast medium and any radiation, sparing time and human resources. Methods: From September 2011 to June 2016, all patients with dialysis access requiring percutaneous angioplasty, stenting, or thrombectomy were included in this cohort study and treated under sonography guidance alone. Patients with target lesion in central vessels were excluded. Efficacy outcomes were defined as improvement in volume .. View More»
DOI:
10.4172/2329-6925.1000304