Abstract
In 19 patients with insufficient hemodialysis access fistulas combined laser and balloon angioplasty of two occlusions and 17 stenoses of the shunt vein was performed. In 13 of those 19 cases the procedure was preceded by balloon angioplasty, which was insufficient because of resistant subintimal fibrosis. After using the pulsed dye laser a complete dilatation was possible in all cases.
The new method is a valuable addition to percutaneous interventional techniques in patients with shunt problems, and better long term results may be expected in selected cases.
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Gmelin, E., Weiss, H.D., Zwaan, M. et al. Combined laser and balloon angioplasty of venous obstructions in patients with insufficient hemodialysis access fistulas. Eur. Radiol. 2, 169–171 (1992). https://doi.org/10.1007/BF00171408
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DOI: https://doi.org/10.1007/BF00171408