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CURRENT ISSUEMINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Urologica e Nefrologica 1998 March;50(1):23-50

XIV CONGRESS OF THE SOCIETA' ITALIANA DI NEFROLOGIA SEZIONE PIEMONTE-VALLE D'AOSTA
(Ivrea, October 5, 1996) 

Vascular shunts in hemodialysis. Monitoring and role of percutaneous transluminal angioplasty

Ghezzi P. M. 1, Meinero S. 1, Dutto A. 1, Scarrone A. 2, Bracco E. 2, Ferro C. 2

1 Azienda Ospedaliera S. Croce e Carle - Cuneo, Divisione di Nefrologia e Dialisi;
2 Azienda Ospedaliera S. Croce e Carle - Cuneo, Servizio di Radiologia

The function of vascular shunts in hemodialysis plays a vital role for the efficiency and effectiveness of replacement therapy. A study was performed in 147 patients undergoing periodical hemodialysis with distal FAV (no=86), proximal FAV (no=33), PTFE grafts (no=23), Canaud-Tesio catheters (no=7). A protocol for function evaluation was developed which also included the calculation of overall recirculation (R), that was found to be 10.8+7% (using the three blood sample method). In 28/143 patients the monitoring protocol recommended the use of angiography which identified abnormalities in 78% of cases, before the onset of thrombotic phenomena. In particular, surgical radiology was able to resolve 94% of cases in which angiography revealed a stenosis using percutaneous transluminal angioplasty and/or the insertion of one or more stents.

language: Italian


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