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Stent use for hemodialysis access: What a general nephrologist needs to know

Siddiq Anwar1, Tushar J Vachharajani2

  • 1Nephrology Section, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Hemodialysis International. International Symposium on Home Hemodialysis
|November 14, 2017
PubMed

Insights

Stents can maintain hemodialysis access patency but require careful consideration of risks and benefits. Understanding stent use is crucial for nephrologists managing dialysis access dysfunction.

Area of Science:

  • Nephrology
  • Interventional Radiology
  • Vascular Access

Background:

  • Recurrent stenosis from neo-intimal hyperplasia compromises hemodialysis access patency.
  • Percutaneous transluminal angioplasty, with or without stent placement, is the current strategy to maintain access function.

Purpose of the Study:

  • To review the considerations for stent placement in hemodialysis access.
  • To educate nephrologists on the benefits and risks of stenting dysfunctional dialysis access.

Main Methods:

  • Review of current literature and clinical scenarios regarding stent use in hemodialysis access.
  • Discussion of key factors influencing stent deployment decisions.

Main Results:

  • Stent placement involves critical decisions regarding appropriateness, long-term effects, stent type, size, and cannulation impact.
  • Awareness of benefits and pitfalls of stenting is essential for nephrologists.

Conclusions:

  • Informed decision-making regarding stent use is vital for preserving hemodialysis access patency.
  • This review aims to provide essential knowledge for dialysis providers on stenting dysfunctional access.

Keywords:
Hemodialysisarteriovenous accessstenosisstentstent-graftvascular access

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