Stent och stentgraft i
dialysaccess
Mateusz Krasun EBIR
SÖS
  Olika typer av stent
  Vad säger forskningen
  Några fall
  Indikationer
A Meta-analysis of Stent Placement vs.
Angioplasty for Dialysis Vascular Access
Stenosis.
Fu N, Joachim E, Yevzlin AS, Shin JI,
Astor BC, Chan MR
Division of Nephrology, University of Wisconsin School
of Medicine and Public Health, Madison, Wisconsin.
Stent-grafts versus angioplasty and/or bare
metal stents for failing arteriovenous grafts: a
cross-over longitudinal study.
Karnabatidis D, Kitrou P, Spiliopoulos S,
Katsanos K, Diamantopoulos A, Christeas N, Siablis D.
Department of Interventional Radiology, Patras
University Hospital, School of Medicine, Rion, Greece.
1980-2013
55 pt
Angioplasty with stent graft versus bare stent
for recurrent cephalic arch stenosis in
autogenous arteriove- nous access for
hemodialysis: a prospective randomized
clinical trial
Shemesh D, Goldin I, Zaghal I, Berlowitz D, Raveh D,
Olsha O. J Vasc Surg. 2008;48(6):1524-1531
25 pt
BMS had 6- and 12-month primary patencies of 39% and
0%, respectively.
SG had 6- and 12-month primary patencies of 82% and
32%, respectively.
Cephalic arch stenosis in autogenous
brachiocephalic hemodialysis fistulas: results
of cutting balloon angioplasty.
Heerwagen ST, Lönn L, Schroeder TV, Hansen MA
J Vasc Access. 2010;11(1):41-45.
17 pt
6- and 12-month primary patency was 81% and 38%,
respectively
1.
Augusti ’11
1.
Augusti ’11
1.
Augusti’11
1.
Februari ’12
2.
Februari ’11
2.
Mars ’11
2.
Mars ’11
3.
Januari ’12
December ’12
3.
April ’14
September ’14
4.
Mars ’10
4.
October ’10
4.
Augusti ’11
5.
Juni ’11
5.
Juni ’11
5.
December ’11
5.
Juli ’12
Sep ’12
5’.
Maj ’13
Januari ’15
Indikationer:
1.Ruptur
2.Uppenbart dåligt resultat av PTA inkl cutting-ballong
3.Pseudoaneurysm/ aneurysm