Percutaneous transluminal angioplasty for stenosis of arteriovenous fistulae: a review of local experience

S Tang, CY Lo, WK Tso, WK Lo, FK Li, TM Chan
Department of Medicine, Queen Mary Hospital, Pokfulam, Hong Kong

The stenosis and subsequent thrombosis of the arteriovenous fistula may lead to a loss of vascular access sites; this a major problem in chronic haemodialysis patients. Percutaneous transluminal angioplasty has been a popular way of correcting such lesions in recent years. We have reviewed patients who underwent this operation from 1993 to 1996 at the Queen Mary Hospital. Among 11 patients who were documented as having arteriovenous fistula stenosis, 60% of lesions were in the anastomotic area while 40% were in the venous limb. All patients had abnormal dialysis blood line pressures corresponding to the actual site of stenosis. The initial success rate of percutaneous transluminal angioplasty in treating the stenotic lesions was 73%. This method is thus a promising form of semi-invasive treatment for symptomatic arteriovenous fistula stenosis.

Hong Kong Med J 1998;4:36-41

Key words: Angioplasty, balloon; Arteriovenous fistula/radiography; Arteriovenous fistula/therapy; Hemodialysis