1. To review the common categories of endovascular stents
2. To describe the indications for endovascular stent placement in hemodialysis access with an up-to-date literature review
3. To learn about potential stent complications and become familiar with management of fractured, misplaced and migrated endovascular stents
Dialysis Access Endovascular Stent Categories
- Self-expandable stents (Bare metal stents)
• Stainless steel
• Nitinol alloys
- Stent grafts (Covered Stents)
- Balloon expandable stent (Mostly unsuitable for central and peripheral venous interventions)
- Drug-eluting stents (Not yet evaluated clinically)
Indications for Stent Placement in Dialysis Vascular Access Abnormalities, Up-to-Date Literature Review and Case Based Examples
- Recurrent stenosis
- Elastic lesion
- Vein rupture
- Venous anastomosis stenosis
- Extrinsic compression
- Pseudoaneurysm formation
- In-stent retenosis
Endovascular Stent Complications, Controversies and Case Based Illustration of Management Options
- Stent Fracture
- Stent Misplacement
- Stent Migration
Ginsburg, M,
Lorenz, J,
Zivin, S,
To Stent or Not to Stent? Comprehensive Review of Endovascular Stent Indications, Complications, and Controversies in Dialysis Access. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005460.html