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Daniel R. Gorin, MD, FACS, Lisa Perrino, RDMS, RVT, Donna M

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Presentation on theme: "Daniel R. Gorin, MD, FACS, Lisa Perrino, RDMS, RVT, Donna M"— Presentation transcript:

1 Ultrasound-guided angioplasty of autogenous arteriovenous fistulas in the office setting 
Daniel R. Gorin, MD, FACS, Lisa Perrino, RDMS, RVT, Donna M. Potter, RN, MS, ANP-BC, Tarik Z. Ali, BS  Journal of Vascular Surgery  Volume 55, Issue 6, Pages (June 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Room set up for ultrasound-guided arteriovenous fistula (AVF) intervention. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 The guidewire and angioplasty balloon can be clearly visualized under ultrasound, allowing for precise placement and treatment. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Tumescent anesthesia is injected along the length of the area to be treated using ultrasound guidance. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

5 Fig 4 A and B, The “waist” can be clearly visualized as the balloon is inflated and a stenosis is treated. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Completion ultrasound commonly shows small intraluminal abnormalities but confirms a widely patent arteriovenous fistula (AVF) with no flow-limiting lesions. These abnormalities are found to have resolved on follow-up ultrasound. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

7 Fig 6 An example of a large forearm cephalic arteriovenous fistula (AVF) created from a small vein with several high-grade stenosis that were treated with ultrasound-guided angioplasty. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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