A S Yevzlin

..We must endeavor to follow a similar path in our approach to PAD. The purpose of this review is to educate interventional nephrologists in the diagnosis and treatment of PAD in their CKD patients...

..In occlusive disease where no conventional alternative is available, however, laser therapy is a viable option...

..As the treatment outcomes of CVC-associated CVS have been disappointing, catheter avoidance remains the best strategy...

..A case is presented and a novel technique is described by which an endovascular stent is deployed in the venous outflow system of an arteriovenous fistula without the traditional exchange to a larger diameter introducer sheath...

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..LIJ catheter placement on long-term vessel patency as well as catheter function must be more rigorously defined to conclusively establish the superiority of one over the other...

..Nevertheless, our report suggests that there may be a role for DA in the treatment of severe, resistant in-stent stenosis. Further investigation is necessary to evaluate the safety and efficacy of the described technique...

..Cost analysis revealed that performing the non-fluoroscopic technique as the preferred initial procedure would represent a substantial reduction in total bills submitted to third-party payers, including Medicare...

..This article highlights novel cell therapies, advanced materials, and approaches to AKI with the aim of illuminating a potential path for future basic, translational, and clinical research using these novel modalities...

..We describe a non-surgical (fluoroscopy assisted, percutaneous) technique for placement of external jugular, tunneled, cuffed hemodialysis catheters, and provide long-term blood flow and dialysis adequacy data for EJV catheters...

..Antiplatelet agents had a significant negative association with access patency in this cohort. In contrast to other published data, it was difficult to identify any beneficial effect of specific medications on access patency...

..Finally, well-designed studies need to address all these issues to clarify indications and to provide stronger scientific guidelines for stent use...

..The recommendations of vascular access choice stipulated by national guidelines may need to be modified for elderly patients...

..However, concern remains over localized corrosion and increased neointimal hyperplasia of overlapping stents in the access circuit and whether this promotes premature stent failure...

..In-stent restenosis is associated with higher percent luminal diameter lesions, while de novo lesions rather than in-stent restenosis are associated with higher risk of AVG access failure and reduced primary patency...

..This is the first known case reported in the literature utilizing this new non-calcium-based phosphate binder in the setting of calciphylaxis...

..Clinical vascular practice guidelines for vascular access on the use of fluoroscopy for temporary HD catheter placement may need to be re-evaluated with the reported increase in stent placement in the US HD population...

..We conclude that obesity should not preclude placement of AVF as vascular access of choice, except in the very obese where assessment should be individually based...

..While endovascular stent placement is the standard of care in most percutaneous coronary and peripheral artery intervention, its role in the salvage of thrombosed and stenotic hemodialysis access remains controversial...

..U.S. interventional nephrologists should be given the opportunity to learn AVF placement procedures to emulate their European counterparts, and thus improve U.S. dialysis outcomes...

..This review attempts to recast our understanding of NH and redefine research goals for an evolving discipline that focuses on a life-sustaining connection between an artery and vein...

..02. Given the findings of this study, a randomized controlled trial comparing the safety and efficacy of common anticoagulation lock solutions is warranted...

..The clinical manifestations of this phenomenon were angina, lateral chest wall pain during dialysis, and distal hypoperfusion of the left hand. After stenting of the subclavian lesion, all symptoms resolved...

..This review provides a comprehensive update of tunneled hemodialysis catheters, their necessity and pitfalls, and novel directions for future investigation...