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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

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Endovascular tools for vascular access stenosis: Flow-chart proposal.

Marco Taurisano1, Andrea Mancini1, Cosma Cortese2

  • 1Department of Nephrology, Hospital "Di Venere," Bari (BA), Apulia, Italy.

The Journal of Vascular Access
|February 16, 2024
PubMed
Summary

Stenosis is a key issue in arteriovenous fistulas (AVFs) for hemodialysis patients. This review details devices for treating AVF stenosis, aiming to improve outcomes for end-stage renal disease patients.

Keywords:
AV fistulaAVFPTAangioplastyballoonsdialysis accessflowchart

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Nephrology

Background:

  • Stenosis is the primary pathology affecting arteriovenous fistulas (AVFs), impacting end-stage renal disease (ESRD) patients requiring hemodialysis.
  • Effective correction of vascular access stenosis is crucial for patient survival and quality of life.

Purpose of the Study:

  • To review current literature on devices used for treating AVF stenosis.
  • To provide evidence-based guidance on selecting and utilizing various treatment tools for different stenosis types and locations.
  • To propose a treatment algorithm for managing AVF stenosis.

Main Methods:

  • Literature review of scientific evidence on AVF stenosis treatment devices.
  • Analysis of device materials, technologies, and applications for resistant lesions and recurrence reduction.
  • Development of flow-chart treatment proposals based on literature evidence.

Main Results:

  • Percutaneous transluminal angioplasty (PTA) is a primary treatment for AVF stenosis with immediate positive results.
  • Technological advancements have introduced diverse devices to manage resistant stenotic lesions and minimize recurrence.
  • Guidelines lack specific recommendations for individual treatment choices.

Conclusions:

  • A comprehensive understanding of available devices and their appropriate application is essential for effective AVF stenosis management.
  • This review offers specific information to guide clinicians in selecting the best tools for AVF stenosis treatment.
  • Implementing a structured approach, potentially using flow-charts, can optimize treatment strategies and improve patient outcomes.