Kidney Res Clin Pract.  2017 Mar;36(1):79-85. 10.23876/j.krcp.2017.36.1.79.

Clinical experience with ultrasound guided angioplasty for vascular access

• Cho S
• Lee YJ
• Kim SR

• KMID: 2409392
• DOI: http://doi.org/10.23876/j.krcp.2017.36.1.79

Abstract

BACKGROUND
The use of ultrasound guided percutaneous transluminal angioplasty (UG-PTA), which use ultrasound as an imaging modality, is an evolving strategy. But, in Korea, this method is rarely used. We report our experiences with UG-PTA with respect to technical success rates and complication rates compared to conventional PTA (C-PTA), performed between 2010 and 2015 at Samsung Changwon Hospital, Korea.
METHODS
In our series, 53 cases of UG-PTA and 90 cases of C-PTA were reviewed, respectively. Cases of central vein stenosis, cephalic arch stenosis, arterial stenosis and thrombosis were excluded. However, cases of juxta-anastomotic stenosis and outflow vein stenosis were included.
RESULTS
Technical success was achieved in 96.2% (51 of 53) of cases in the UG-PTA group and in 93.3% (84 of 90) of cases in the C-PTA group, respectively (P = 0.710). Technical failure was experienced in a total 8 cases (UG-PTA group: 2/53, 3.8%; C-PTA group: 6/90, 6.7%). No differences were observed in complications.
CONCLUSION
Duplex ultrasound-guided angioplasty for dialysis access in the outpatient setting is feasible, safe, and effective for peripheral venous stenotic lesions. It offers many advantages over conventional angiographic procedures, and, in the future, it has great potential to play a significant role in the management of these challenging patients.

Keyword

Angioplasty; Endovascular treatments; Percutaneous; Ultrasound

MeSH Terms

Angioplasty*
Constriction, Pathologic
Dialysis
Gyeongsangnam-do
Humans
Korea
Methods
Outpatients
Thrombosis
Ultrasonography*
Veins