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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2012; 22(01): 14-18
DOI: 10.4103/0971-3026.95397
Interventional Radiology

Pictorial essay: Interventional radiology in the management of hemodialysis vascular access - A single-center experience

Suraj Mammen
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Shyamkumar N Keshava
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Vinu Moses
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Surendra Babu
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Santhosh Varughese
Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India
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Abstract

Chronic kidney disease (CKD) is a worldwide public health problem and is associated with high morbidity and mortality. The majority of patients with CKD stage 5 (CKD-5), who cannot undergo renal transplant, depend on maintenance hemodialysis by surgically created access sites. Native fistulae are preferred over grafts due to their longevity. More than half of these vital portals for dialysis access will fail over time. Screening procedures to select high-risk patients before thrombosis or stenosis appears have resulted in aggressive management. These patients are referred for angiographic evaluation and/or therapy. We present the patterns of dialysis-related interventions done in our institution.

Keywords

Hemodialysis access intervention - vascular access management - angioplasty


Publication History

Article published online:
30 July 2021

© 2012. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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