Keywords:
Interventional vascular, Ultrasound, Catheter arteriography, Catheter venography, Venous access, Arterial access, Shunts, Dilatation, Embolism / Thrombosis, Haemodynamics / Flow dynamics
Authors:
G. A. Gonzalez Alvarado, N. Martinez Molina, J. García-Medina; Murcia/ES
DOI:
10.1594/ecr2013/C-1401
Purpose
Maintaining a functioning vascular access in hemodialysis patient remains an important and difficult problem.
The gold standard in these patients is the autologous arteriovenous fistula (AVF).
Sometimes the situation is different and complicated.
In this case one must resort to the heterologous prosthetic implants,
of which the PTFE (polytetrafluoroethylene) is the most used and recommended by the National Kydney Foundation (NKF) in clinical practice guide (DOQI).
The number of patients requiring hemodialysis HD for a long time is increasing,
there for we recommend these accesses preserved as long as possible
In many cases the autologous and prosthetic vascular access is depleted in both upper limbs,
the next step for obtaining a peripheral vascular access for hemodialysis,
is the realization of a femoro – femoral PTFE prosthetic implants.
The purpose of our study is to demonstrate our experience in the radiological management of femoro-femoral PTFE prosthetic implants,
including indications,
diagnosis,
monitoring and treatment of the most common complications like stenosis,
thrombosis,
prolonged bleeding,
rupture,
bruising,
trauma,
infections,
among others .