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Related Experiment Video

Updated: Dec 9, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Advances in Endovascular Salvage.

Daniel V Patel¹, Theodore F Saad¹, Dirk M Hentschel¹

¹Volusia-Flagler Vascular Center, Daytona Beach, FL; Nephrology Associates Vascular Access Center, Newark, DE; Brigham Health, Brigham and Women's Hospital, Renal Division, Interventional Nephrology, Boston, MA.

Advances in Chronic Kidney Disease

|September 6, 2020

Summary

Endovascular salvage is crucial for dialysis access, using angioplasty and advanced devices like cutting balloons and drug-eluting balloons to treat recurrent stenosis. Effective management requires preserving venous access and thorough patient evaluation.

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Area of Science:

Vascular Surgery
Interventional Radiology
Nephrology

Background:

Endovascular salvage is vital for maintaining dialysis access.
Recurrent stenosis is a common complication requiring intervention.

Purpose of the Study:

To review current endovascular techniques for dialysis access salvage.
To highlight the role of various angioplasty balloons, stents, and stent grafts.

Main Methods:

Review of angioplasty with standard, high-pressure, ultrahigh-pressure, cutting, and drug-eluting balloons.
Discussion of stent and stent graft applications in specific access segments.
Emphasis on physical examination, bedside ultrasound, and angiographic evaluation.

Main Results:

Standard angioplasty is the primary therapy.
Cutting balloons and drug-eluting balloons show promise for specific stenosis types.
Stents and stent grafts are useful for remodeling-prone segments.

Conclusions:

Successful dialysis access management involves preserving venous real estate and utilizing a range of endovascular tools.
Knowledgeable evaluation of the access is critical for optimal outcomes.