Program Book - Keck School of Medicine of USC - University of ...

Endovascular Intervention:Success Rates560 patients1437proceduresSuccess= 30 days ofsuccessful dialysis throughtreated access siteCatheter Cardiovasc Interv 2010.Fistulasn = 703Dialysis Graftsn = 734Stenosedn = 46489% successThrombosedn = 14780% successStenosedn = 23796% successThrombosedn = 46294% successLong Term Success RatesFistula 20%Graft 5%Catheter Cardiovasc Interv 2010.Complications• Access site hematomas• Perforation• ~1% of cases• May be increased with use of cutting balloons• Associated with poor short graft patency• Usually requires use of covered stents(Fluency, WallGraft or Viabahn)• Pulmonary embolism• secondary to ineffective thrombus removal• Stroke• intra-cardiac shunt (ASD, PFO)• Peripheral embolism131