Transarterial Interventional Therapy for Non-functioning Hemodialysis Access

Shiro Miyayama, Masashi Yamashiro, Natsuki Sugimori, Rie Ikeda, Takuya Ishida, Naoko Sakuragawa, Yasutaka Kamikawa, Tamayo Kato, Yasuyuki Ushiogi
2020 Interventional Radiology  
Transarterial vascular access interventional therapy (VAIVT) for non-functioning hemodialysis access has advantages over the venous approach because natural venous outflow through the fistula as well as the stump at the fistula site in total occlusion can be observed, and most strictures and/or occlusions can be treated via one access route. The brachial arterial approach is essential, but the radial arterial approach at the wrist is also necessary for certain patients. The transarterial
more » ... h can be applied to all VAIVTs; however, additional venous access is necessary in cases requiring a large device and those with unsuccessful traversal of the occluded segment via the arterial route. The high origin of the radial artery is a disadvantage of the transbrachial approach, and local hematomas are the most frequent complications.
doi:10.22575/interventionalradiology.2019-0013 fatcat:agjeo4idm5cxpm5ve4duohcjym