Advertisement

Malfunctioning Hemodialysis Access: Diagnosis and Percutaneous Treatment

  • Dierk Vorwerk
  • Rolf W. Günther
  • Heinz-Günther Sieberth

Abstract

Malfunction of hemodialysis access is a frequent problem in hemodialysis patients and requires an adequate diagnostic and therapeutic approach thus making percutaneous interventions a technique of growing importance for interventional radiologists

Keywords

Balloon Dilatation Percutaneous Treatment Primary Patency Shunt Flow Shunt Malfunction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Burger H. Kootstra G, deCharto F, Lepers P. A survey of vascular access for haemodialysis in the Netherlands Nephrol Dial Transplant 6: 5, 1991PubMedGoogle Scholar
  2. 2.
    Bell D, Rosenthal J. Arteriovenous graft life in chronic hemodialysis. A need for prolongation. Arch Surg 123 1169, 1988PubMedGoogle Scholar
  3. 3.
    Keller F, Loewe H, Bauknecht K. Schwarz A, Offemann G. Kumulative Funktionaraten von orthotopen Dialysefistein and Interponaten Disch Med Wschr 113: 332, 1988Google Scholar
  4. 4.
    Palder S, Kirkman R, Whittemore A, Hakim R, Lazarus M, Tilney N: Vascular access for hemodialysis Patency rates and results of revision. Am Surg 202: 235, 1985Google Scholar
  5. 5.
    Ztbari G, Rohr M, Landreneau M, Bridges R, DeVault G, Petry F, Costey K, Brown S, McDonald J: Complications from permanent hemodialysis vascular access Surgery 104 681, 1988Google Scholar
  6. 6.
    Raju S: PTFE grafts for hemodialysis access. Aan Surg 206 666, 1987CrossRefGoogle Scholar
  7. 7.
    .Schwab S, Raymond J, Saeed M, Newman G, Dennis P, Bollinger R: Prevention of hemodialysis fistula thrombosis. Early detection of venous stenoses. Kidney Int 36: 707, 1989PubMedCrossRefGoogle Scholar
  8. 8.
    Thomsen M, Stenport G: Evaluation of clinical examination preceding surgical treatment of av fistula problems. Acta Chir Scand 151: 133, 1985PubMedGoogle Scholar
  9. 9.
    Windus D: Permanent vascular access: a nephrologist’s view. Am J Kidney Dis 21: 457, 1993PubMedGoogle Scholar
  10. 10.
    Windus D, Audrain J, Vanderson R, Jendrisak M, Picus D, Delmez J: Optimization of high-efficiency hemodialysis by detection and correction of fistula dysfunction. Kidney Int 38: 337, 1990PubMedCrossRefGoogle Scholar
  11. 11.
    Kathrein H: Duplexsonographie von Dialyseshunts. Nichtinvasive Beurteilung der arteriovenösen Fistel bei Dialysepatienten. Fortschr Med 111: 313, 1993PubMedGoogle Scholar
  12. 12.
    Vorwerk D, Günther RW, Bohndorf K, Asgarzadeh A, Borchers K: Farbkodierte Duplexsonographie (Angiodynographie) in der Beurteilung arteriovenöser Shunts. Fortschr Roentgenstr 148: 265, 1988Google Scholar
  13. 13.
    Nonnast-Daniel B, Martin R, Lindert O, Mügge A, Schaefer J, vd Lieth H, Söchtig E, Galanski M, Koch KM, Daniel W: Colour doppler ultrasound assessment of arteriovenous haemodialysis fistulas. Lancet 339: 143, 1992PubMedCrossRefGoogle Scholar
  14. 14.
    Forsberg L, Tylen T, Olin T, Lindstedt E: Quantitative flow estimations of arteriovenous fistulas with doppler and dye dilution techniques. Acta Radiol Diagn 21: 465, 1980Google Scholar
  15. 15.
    Oates C, Williams E, McHugh M: The use of a diasonics DRF 400 duplex ultrasound scanner to measure volume flow in arterio-venous fistulae in patients undergoing haemodialysis: an analysis of measurement uncertainties. Ultrasound Med Biol 16: 571, 1990PubMedCrossRefGoogle Scholar
  16. 16.
    Picus D, van Breda A, Katzen B, Steinberg D: Use of digital subtraction angiography for evaluation of vascular access for hemodialysis. Cardiovasc Intervent Radiol 10: 210, 1987PubMedCrossRefGoogle Scholar
  17. 17.
    Glanz S, Gordon D, Butt K, Hong J, Lipkowitz G: The role of percutaneous angioplasty in the management of chronic hemodialysis fistulas. Ann Surg 206: 777, 1987PubMedCrossRefGoogle Scholar
  18. 18.
    Zijlstra J: Percutaneous transluminal angioplasty in vascular access for hemodialysis. Proefschrift ter verkrijging van de graad van doctor aan de Rijksuniversiteit te Utrecht. Utrecht, 19897Google Scholar
  19. 19.
    Staple T: Retrograde venography of subcutaneous arteriovenous fistulas created surgically for hemodialysis. Radiology 106: 223, 1973PubMedGoogle Scholar
  20. 20.
    Shu M, Hwang N: Haemodynamics of angioaccess venous anastomoses. J Biomed Eng 13: 103, 1991PubMedCrossRefGoogle Scholar
  21. 21.
    Nardi L, Bosch J: Recirculation: review, techniques for measurement and ability to predict hemoaccess stenosis before and after angioplasty. Blood Purif 6: 85, 1988PubMedGoogle Scholar
  22. 22.
    Sullivan K, Besarab A, Dorell S, Moritz M: The relationship between dialysis graft pressure and stenosis. Invest Radiol 27: 352, 1992PubMedCrossRefGoogle Scholar
  23. 23.
    Sullivan K, Besarab A, Bonn J, Shapiro M, Gardiner G, Moritz M: Hemodynamics of failing dialysis grafts. Radiology 186: 867, 1993PubMedGoogle Scholar
  24. 24.
    Beathard G: Percutaneous transvenous angioplasty in the treatment of vascular access stenosis. Kidney Int 42: 1390, 1992PubMedCrossRefGoogle Scholar
  25. 25.
    Surratt R, Picus D, Hicks M, Darcy M, Kleinhoffer M, Jendrisak M: The importance of preoperative evaluation of the subclavian vein in dialysis access planning. Am J Roentgenol 156: 623, 1991Google Scholar
  26. 26.
    Davis G, Dowd C, Bookstein J, Maroney T, Lang E, Halasz N: Thrombosed dialysis grafts. Efficacy of intrathrombic deposition of concentrated urokinase, clot maceration and angioplasty. Am J Roentgenol 149: 177, 1987Google Scholar
  27. 27.
    Gmelin E, Karnel F: Radiologische Rekanalisation von Venen, Gefäβprothesen und Arterien bei insuffizienten Dialysefisteln. Fortschr Roentgenstr 153: 432, 1990Google Scholar
  28. 28.
    Bohndorf K, Gladziwa U, Kistler D, Kretschmer K, Vorwerk D, Sieberth H, Günther RW: Rekanalisation von stenosierten oder verschlossenen Hämodialyseshunts. Fortschr Roentgenstr 158: 525, 1993Google Scholar
  29. 29.
    Brooks J, Sigley R, May K, Mack R: Transluminal angioplasty versus surgical repair for Stenosis of hemodialysis grafts. A randomized study. Am J Surg 153: 530, 1987PubMedCrossRefGoogle Scholar
  30. 30.
    Tortolani E, Tan A, Butchart S: Percutaneous transluminal angioplasty. An ineffective approach to failing vascular access. Arch Surg 119: 221, 1984PubMedGoogle Scholar
  31. 31.
    Dapunt O, Feuerstein M, Rendl K, Prenner K: Transluminal angioplasty versus conventional operation in the treatment of haemodialysis fistula stenosis: results from a 5-year study. BrJ Surg 74: 1004, 1987CrossRefGoogle Scholar
  32. 32.
    Glanz S, Gordon D, Lipkowitz G, Butt K, Hong J, Sclafani S: Axillary and subclavian vein stenosis: percutaneous angioplasty. Radiology 168: 371, 1988PubMedGoogle Scholar
  33. 33.
    Schwab S, Quarles L, Middleton J, Cohan R, Saaed M, Dennis V: Hemodialysis-associated subclavian vein stenosis. Kidney Int 33: 1156, 1988PubMedCrossRefGoogle Scholar
  34. 34.
    Gray R, Dolmatch B, Buick M: Directional atherectomy treatment for hemodialysis access: early results. J Vasc Intervent Radiol 3: 497, 1992Google Scholar
  35. 35.
    Zwaan M, Weiss H, Gmelin E, Rinast E, Scheu M: Lasergestützte Ballonangioplastie insuffizienter Hamodialysefisteln. Fortschr Roentgenstr 159: 456, 1993Google Scholar
  36. 36.
    Kistler D, Bohndorf K, Günther RW: Kombiniert chirurgisch-radiologisches Vorgehen beim Verschluß eines Hämodialyseshunts. Chirurg 61: 84, 1990PubMedGoogle Scholar
  37. 37.
    Smith T, Hunter D, Darcy M, Castaneda-Zuniga W, Amplatz K: Thrombosed synthetic hemodialysis access fistulas: the success of combined thrombectomy and angioplasty (Technical note). Am J Roentgenol 147: 161, 1986Google Scholar
  38. 38.
    Brittinger W, Twittenhoff W: Anschluαverfahren an die künstliche Niere. Technische und klinische Aspekte, Bindernagel, Friedberg, 1975, p 68Google Scholar
  39. 39.
    Young A, Hunter D, Castaneda-Zuniga W, So S, Mercado S, Cardella J, Amplatz K: Thrombosed synthetic hemodialysis access fistulas: failure of fibrinolytic therapy. Radiology 154: 639, 1985PubMedGoogle Scholar
  40. 40.
    Poulain F, Raynaud A, Bourquelot P, Knight C, Rovani X, Gaux J: Local thrombolysis and thromboaspiration in the treatment of acutely thrombosed arteriovenous hemodialysis fistulas. Cardiovasc Intervent Radiol 14: 98, 1991PubMedGoogle Scholar
  41. 41.
    Valji K, Bookstein J, Roberts A, Davis G: Pharmaco mechanical thrombolysis and angioplasty in the management of clotted hemodialysis grafts: early and late clinical results. Radiology 178: 243, 1991PubMedGoogle Scholar
  42. 42.
    Newman G, Saeed M, Himmelstein S, Cohan R, Schwab S: Total central vein obstruction: resolution with angioplasty and fibrinolysis. Kidney Int 39: 761, 1991PubMedCrossRefGoogle Scholar
  43. 43.
    Guenther RW, Vorwerk D: Aspiration catheter for percutaneous thrombectomy: clinical results. Radiology 175: 271, 1990PubMedGoogle Scholar
  44. 44.
    Schmitz-Rode T, Bohndorf K, Guenther RW: Rekanalisation thrombosierter Hämodialyseshunts mit Oszillations-Aspiration und Maschenkorb. Fortschr Roentgenstr 158: 49, 1993Google Scholar
  45. 45.
    Schmitz-Rode T, Bohndorf K, Guenther RW: New ‘Mesh basket’ for percutaneous removal of wall-adherent thrombi in dialysis shunts. Cardiovasc Intervent Radial 16: 7, 1993CrossRefGoogle Scholar
  46. 46.
    Reekers J, Kromhout J, van der Waal K: Catheter for percutaneous thrombectomy: first clinical results. Radiology 188:871, 1993PubMedGoogle Scholar
  47. 47.
    Vorwerk D. Guenther RW, Sohn M, Schuermann K, Hoogeveen Y: Percutaneous mechanical thrombectomy of hemodialysis shunts with use of the hydrolyser system (Abstract). SCVIR Meeting, San Diego 1994. JVIR 5: 37, 1994Google Scholar
  48. 48.
    Vorwerk D, Guenther RW, Bohndorf K, Kistler D: Self-expanding stents in peripheral and central veins used for arteriovenous shunts: five years of experience (abstract). Radiology 189(P): 174, 1993Google Scholar
  49. 49.
    Günther R, Vorwerk D, Bohndorf K, Klose K, Kistler D, Mann H, Sieberth H, El-Din A: Venous stenosis in dialysis shunts: treatment with self-expanding metallic stents. Radiology 170:401, 1989PubMedGoogle Scholar
  50. 50.
    Quinn S, Schuman E, Hall L, Gross G, Uchida B, Standage B, Rosch J, Ivancev K: Venous stenoses in patients who undergo hemodialysis: treatment with self-expandable endovascular stents. Radiology 183: 499, 1992PubMedGoogle Scholar
  51. 51.
    Bosnjakovic P, Ivkovic T, Ilic M, Aracki S: Strecker stent in stenotic hemodialysis Brescia-Cimino arteriovenous fistulas. Cardiovasc Intervent Radiol 15: 217, 1992CrossRefGoogle Scholar
  52. 52.
    Landwehr P, Lackner K, Gotz R: Dilatation and balloon-expandable stents for the treatment of central venous stenosis in dialysis patients. Fortschr Roentgenstr 153: 239, 1990CrossRefGoogle Scholar
  53. 53.
    Vorwerk D, Günther RW, Bohndorf K, Kistler D, Gladziwa U, Sieberth HG: Follow-up results after stent placement in failing arteriovenous shunts: a three-year expriment. Cardovasc Intervent Radiol 14: 285, 1991CrossRefGoogle Scholar
  54. 54.
    Beathard GA: The use of the Gianturco intravascular stent in stenotic hemodialysis fistulas. ASAIO Trans 37: M234, 1991PubMedGoogle Scholar
  55. 55.
    Selby J, Pruett T, Westervelt F, Tegtmeyer C, Poole L: Treatment of hemodialysis fistula pseudoaneurysms with detachable balloons: technique and preliminary results. J Vasc Intenent Radiol 3: 505, 1992Google Scholar
  56. 56.
    Gaylord G, Taber T: Long-term hemodialysis access salvage: problems and challenges for nephrologists and interventional radiologists. J Vasc Intervent Radiol 4: 103, 1993 $Google Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Dierk Vorwerk
    • 1
  • Rolf W. Günther
    • 1
  • Heinz-Günther Sieberth
    • 1
  1. 1.Department of Diagnostic RadiologyUniversity of Technology PauwelsstrasseAachenGermany

Personalised recommendations