The role of percutaneous angioplasty in the management of chronic hemodialysis fistulas

Ann Surg. 1987 Dec;206(6):777-81. doi: 10.1097/00000658-198712000-00015.


One hundred forty-one dilatations of stenotic lesions in dialysis access fistulas were performed. The initial success rate was 82%. The one-year patency rate was 45%, with a 2-year patency rate of 24%. Best results were obtained with a discrete stenosis at a graft-to-vein anastomosis. The procedure can be done on an outpatient basis and, although long-term results are poor, in appropriate patients multiple dilatations can be performed to keep a fistula functioning for many years.

MeSH terms

  • Aneurysm / therapy*
  • Angiography
  • Angioplasty, Balloon* / adverse effects
  • Arteriovenous Shunt, Surgical*
  • Humans
  • Renal Dialysis
  • Thrombosis / therapy*
  • Vascular Patency