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Title of Journal: Cardiovasc Intervent Radiol

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Abbravation: CardioVascular and Interventional Radiology

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Springer-Verlag

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DOI

10.1007/978-94-007-2941-4_8

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ISSN

1432-086X

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Cephalic Arch Stenosis in Autogenous Haemodialysis

Authors: Andrew Shawyer Nicos I Fotiadis Girish Namagondlu Arun Iyer Mark Blunden Martin Raftery Magdi Yaqoob
Publish Date: 2012/06/27
Volume: 36, Issue: 1, Pages: 133-139
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Abstract

Cephalic arch stenosis CAS is an important and common cause of dysfunction in autogenous haemodialysis fistulas that requires multiple reinterventions and aggressive surveillance We evaluated the safety and efficacy of the Viabahn stentgraft for the management of CASBetween April 2005 and October 2011 11 consecutive patients four men and seven women mean age 567 years with CAS and dysfunctional fistulas were treated with insertion of 11 Viabahn stentgrafts Six stentgrafts were inserted due to residual stenosis after angioplasty and five for fistuloplastyinduced rupture No patient was lost to followupThe technical and clinical success rate was 100  Primary access patency rates were 818  95  confidence interval CI 0482–0977 at 6 months and 727  95  CI 0390–0939 at 12 months Secondary access patency rates were 909  at 6 months 95  CI 0587–0997 There were no procedurerelated complications Mean followup was 5438 days range 156–2282

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