Early Detection and Endovascular Intervention to Correct Dialysis Vascular Access Malfunction

Abstract

Endovascular intervention in hemodialysis vascular access is among the most frequent interventions performed in an angiography suite. Vascular stenosis is the most prevalent lesion causing vascular access malfunction. Vascular access pathology and the outcomes in response to endovascular treatment are quite different from the arterial territory. Treatment strategy must be integrated, multidisciplinary, and with a long-term perspective, as recurrence rates of malfunction are quite common. We will detail our experience managing an extremely busy vascular access center serving a population of 4000 dialysis patients, performing all endovascular techniques in close coordination with the surgical team.