Semin intervent Radiol 2022; 39(01): 075-081
DOI: 10.1055/s-0042-1742390
Review Article

Stent Graft Outcomes in Dialysis Circuits: A Review of Clinical Trials and Literature

Austin J. Pourmoussa
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
,
Ashwin M. Mahendra
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
,
Constantino S. Peña
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
2   Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida
,
Alex Powell
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
,
Brian J. Schiro
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
,
Raul Herrera
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
3   Department of Medical and Health Science Research, Florida International University Herbert Wertheim College of Medicine, Miami, Florida
,
Barry T. Katzen
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
2   Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida
,
Govindarajan Narayanan
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
2   Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida
,
Andrew S. Niekamp
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
,
Ripal T. Gandhi
1   Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida
2   Department of Interventional Radiology, Florida International University Herbert Wertheim College of Medicine, Miami, Florida
› Author Affiliations

Abstract

End-stage renal disease is a prevalent medical condition causing significant problems as the majority of patients are being treated with dialysis. While dialysis provides a means to compensate for the renal impairment, arteriovenous grafts and fistulas are often complicated by neointimal hyperplasia, loss of primary patency, and graft failure. Over the last decade, stent grafts have emerged as an alternative to balloon angioplasty and bare metal stents for revascularization in the event of arteriovenous graft occlusion or stenosis. Several randomized controlled trials have investigated the efficacy of stent grafts compared with balloon angioplasty for improving the function and durability of dialysis circuits. In this review, we present a comprehensive review of clinical trials. Stent grafts appear to offer increased primary patency over balloon angioplasty in the treatment of dialysis circuit stenosis. However, there is generally no significant difference between the two treatment modalities on other clinically relevant measures like complication rates and overall survival.



Publication History

Article published online:
18 February 2022

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