Stent Grafts for Hemodialysis | Stent Grafting to Open Dialysis Grafts

Access to the circulation is critical to dialysis or renal replacement therapy. Long term end stage kidney failure (ESRD) patients require a form of permanent access. The most desirable form of permanent hemodialysis access is a fistula which uses the patient's own tissues to connect the arterial and venous circulaton.

With time, however, fistulas can become blocked (or stenotic) and less or unsuitable for dialysis treatment. Stenotic fistulas have been treated with balloon angioplasty, similar to coronary artery angioplasty, in which a catheter is inserted into the obstruction and the tip expanded or ballooned to compress the obstruction.

Recently, stents or expandable fairly permanent tubes have been developed to maintain the diameter of an blocked dialysis access fistula. The articles below will discuss these stent grafts' for hemodialysis

Stent Graft versus Balloon Angioplasty for Failing Dialysis-Access Grafts
Ziv J. Haskal, M.D., et al
Volume 362:494-503 February 11 2010 Number 6
C. R. Bard, Inc. (NYSE: BCR) today announced the publication of trial results by The New England Journal of Medicine (NEJM) showing the Bard FLAIRŪ Endovascular Stent Graft maintains the patency of dialysis access grafts more effectively than balloon angioplasty alone



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