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Contemporary review of management techniques for cephalic arch stenosis in hemodialysis
The type of hemodialysis access and its preservation impact the quality of life and survival of patients undergoing hemodialysis. Vascular access complications are among the top causes of morbidity, hospitalization, and catheter use, with significant economic burden. Poor maturation and stenosis con...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930846/ https://www.ncbi.nlm.nih.gov/pubmed/36748927 http://dx.doi.org/10.1080/0886022X.2023.2176166 |
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author | Echefu, Gift Shivangi, Shivangi Dukkipati, Ramanath Schellack, Jon Kumbala, Damodar |
author_facet | Echefu, Gift Shivangi, Shivangi Dukkipati, Ramanath Schellack, Jon Kumbala, Damodar |
author_sort | Echefu, Gift |
collection | PubMed |
description | The type of hemodialysis access and its preservation impact the quality of life and survival of patients undergoing hemodialysis. Vascular access complications are among the top causes of morbidity, hospitalization, and catheter use, with significant economic burden. Poor maturation and stenosis continue to be key impediments to upper arm arteriovenous fistula feasibility. Cephalic arch is a common location for vascular access dysfunction due to its distinctive anatomy, complex valves, and biochemical alterations attributable to renal failure. Understanding cephalic arch stenosis is critical due to its high prevalence and treatment failure. The appropriate management option is highly debatable and mostly dependent on patient characteristics and interventionist’s preference. Current options include, percutaneous transluminal balloon angioplasty, stent grafts, bare metal stents, cutting balloon angioplasty, endovascular banding, and surgical procedures. This article discusses the etiologies of cephalic arch stenosis as well as currents trends in management including endovascular and surgical options. |
format | Online Article Text |
id | pubmed-9930846 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-99308462023-02-16 Contemporary review of management techniques for cephalic arch stenosis in hemodialysis Echefu, Gift Shivangi, Shivangi Dukkipati, Ramanath Schellack, Jon Kumbala, Damodar Ren Fail State-of-the-Art Review The type of hemodialysis access and its preservation impact the quality of life and survival of patients undergoing hemodialysis. Vascular access complications are among the top causes of morbidity, hospitalization, and catheter use, with significant economic burden. Poor maturation and stenosis continue to be key impediments to upper arm arteriovenous fistula feasibility. Cephalic arch is a common location for vascular access dysfunction due to its distinctive anatomy, complex valves, and biochemical alterations attributable to renal failure. Understanding cephalic arch stenosis is critical due to its high prevalence and treatment failure. The appropriate management option is highly debatable and mostly dependent on patient characteristics and interventionist’s preference. Current options include, percutaneous transluminal balloon angioplasty, stent grafts, bare metal stents, cutting balloon angioplasty, endovascular banding, and surgical procedures. This article discusses the etiologies of cephalic arch stenosis as well as currents trends in management including endovascular and surgical options. Taylor & Francis 2023-02-07 /pmc/articles/PMC9930846/ /pubmed/36748927 http://dx.doi.org/10.1080/0886022X.2023.2176166 Text en © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | State-of-the-Art Review Echefu, Gift Shivangi, Shivangi Dukkipati, Ramanath Schellack, Jon Kumbala, Damodar Contemporary review of management techniques for cephalic arch stenosis in hemodialysis |
title | Contemporary review of management techniques for cephalic arch stenosis in hemodialysis |
title_full | Contemporary review of management techniques for cephalic arch stenosis in hemodialysis |
title_fullStr | Contemporary review of management techniques for cephalic arch stenosis in hemodialysis |
title_full_unstemmed | Contemporary review of management techniques for cephalic arch stenosis in hemodialysis |
title_short | Contemporary review of management techniques for cephalic arch stenosis in hemodialysis |
title_sort | contemporary review of management techniques for cephalic arch stenosis in hemodialysis |
topic | State-of-the-Art Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930846/ https://www.ncbi.nlm.nih.gov/pubmed/36748927 http://dx.doi.org/10.1080/0886022X.2023.2176166 |
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