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Juxta-anastomotic stenting with aggressive angioplasty will salvage the native radiocephalic fistula for dialysis  John Swinnen, MBChB, FRACS (General),

Published byKatrina Chapman Modified over 6 years ago

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Presentation on theme: "Juxta-anastomotic stenting with aggressive angioplasty will salvage the native radiocephalic fistula for dialysis  John Swinnen, MBChB, FRACS (General),"— Presentation transcript:

1 Juxta-anastomotic stenting with aggressive angioplasty will salvage the native radiocephalic fistula for dialysis  John Swinnen, MBChB, FRACS (General), FRACS (Vascular), DDU (Vascular), Kia Lean Tan, CSAMM, Richard Allen, FRACS, David Burgess, FRACP, Irwin V. Mohan, FRCS, RACS  Journal of Vascular Surgery  Volume 61, Issue 2, Pages (February 2015) DOI: /j.jvs Copyright © Terms and Conditions

2 Fig 1 The juxta-anastomotic (JXA) segment and the steps in JXA stenting (JXAS). a, JXA stenosis; b, scouting balloon angioplasty; c, predilatation; d, JXAS; e, postdilatation; f, completion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

3 Fig 2 Technique for going “around-the-corner.” Step 1: Perform retrograde imaging of the juxta-anastomotic (JXA) segment through the sheath (with occlusion of the outflow), to get a road map for negotiating “around-the-corner” and visualize the stenoses. Step 2: Pass an angled hydrophilic wire and 4F hydrophilic catheter with a torque device into the radial artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

4 Fig 3 The juxta-anastomotic (JXA) stenting (JXAS) sequence.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

5 Fig 4 Interventions before juxta-anastomotic (JXA) stenting (JXAS).
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

6 Fig 5 Stent-assisted maturation.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

7 Fig 6 Kaplan-Meier curves show patency for fistula and juxta-anastomotic stenting (JXAS). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

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