Journal of Vascular Surgery
Volume 48, Issue 6 , Pages 1524-1531.e2 , December 2008

Angioplasty with stent graft versus bare stent for recurrent cephalic arch stenosis in autogenous arteriovenous access for hemodialysis: A prospective randomized clinical trial

This work was presented at the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) Annual Meeting, Athens, Greece, Sep 8-12, 2007.

  • David Shemesh, MD

      Affiliations

    • Department of Surgery, Vascular Access Center, Jerusalem, Israel
    • ,
  • Ilya Goldin, MD

      Affiliations

    • Department of Surgery, Vascular Access Center, Jerusalem, Israel
    • ,
  • Ibrahim Zaghal, MD

      Affiliations

    • Department of Radiology, Interventional Unit, Jerusalem, Israel
    • ,
  • Daniel Berlowitz, MB, BChir

      Affiliations

    • Department of Radiology, Interventional Unit, Jerusalem, Israel
    • ,
  • David Raveh, MD

      Affiliations

    • Infectious Diseases Unit, Shaare Zedek Medical Center (affiliated with the Faculty of Medicine of the Hebrew University), Jerusalem, Israel
    • ,
  • Oded Olsha, MB, BS

      Affiliations

    • Department of Surgery, Vascular Access Center, Jerusalem, Israel
    • Corresponding Author InformationCorrespondence: Dr Oded Olsha, Department of Surgery, Shaare Zedek Medical Center, PO Box 3235, Jerusalem 91031, Israel

Received 13 March 2008 ,Accepted 21 July 2008.

  • Image Result

    Life-table analysis of the primary patency rates for 25 consecutive angioplasties of the cephalic arch using bare stents (triangles) or stent grafts (circles). The broken line indicates a standard err

    Life-table analysis of the primary patency rates for 25 consecutive angioplasties of the cephalic arch using bare stents (triangles) or stent grafts (circles). The broken line indicates a standard error >10%.

  • Image Result
    Life-table analysis of the functional patency rates for 25 consecutive angioplasties of the cephalic arch using bare stents (circles) or stent grafts (triangles). The broken line indicates a standard

    Life-table analysis of the functional patency rates for 25 consecutive angioplasties of the cephalic arch using bare stents (circles) or stent grafts (triangles). The broken line indicates a standard error >10%.

  • Image Result
    A, Kinking of the cephalic vein by the end of a stent-graft due to the inherent inflexibility of the stent. B, The kink is straightened by deployment of an overlapping stent-graft more peripherally, i

    A, Kinking of the cephalic vein by the end of a stent-graft due to the inherent inflexibility of the stent. B, The kink is straightened by deployment of an overlapping stent-graft more peripherally, in keeping with the natural curve of the cephalic arch, and ending in the straight peripheral segment of the cephalic vein.

  • Image Result
    In-segment restenosis in a stent-graft. A, There is a stenosis at both ends of the stent graft in the regions that (B) the nitinol skeleton is not covered by polytetrafluoroethylene.

    In-segment restenosis in a stent-graft. A, There is a stenosis at both ends of the stent graft in the regions that (B) the nitinol skeleton is not covered by polytetrafluoroethylene.

 Clinical Trials Registration Identifier: NCT00318435.

 Competition of interest: none.

 Additional material for this article may be found online at www.jvascsurg.org.

PII: S0741-5214(08)01219-6

doi: 10.1016/j.jvs.2008.07.071

Journal of Vascular Surgery
Volume 48, Issue 6 , Pages 1524-1531.e2 , December 2008

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