Next Article in Journal / Special Issue
How to Prevent Peritoneal Dialysis Catheter Tip Migration: A Japanese Perspective
Previous Article in Journal / Special Issue
A Case of a Patient Who Successfully Achieved Early Wound Closure by Local Negative Pressure Wound Therapy (NPWT) against Compromised Wound Healing after Arterio-Venous Graft Infection
Review

Drug-Coated Balloon for Arteriovenous Access Stenosis in Hemodialysis Patients

Asan Medical Center, Department of Surgery, Division of Vascular Surgery, College of Medicine, University of Ulsan, Seoul 05505, Korea
Academic Editors: Toshihide Naganuma, Yoshiaki Takemoto, Junji Uchida and Hideki Kawanishi
Kidney Dial. 2021, 1(1), 20-28; https://doi.org/10.3390/kidneydial1010004
Received: 20 May 2021 / Revised: 15 June 2021 / Accepted: 15 June 2021 / Published: 22 June 2021
(This article belongs to the Special Issue Dialysis Access - A New Era)
Hemodialysis access stenosis is a pervasive problem that occurs due to the physiology of the high-flow circuit. Stenosis occurs due to endothelial and smooth muscle injuries that result in neointimal hyperplasia. Percutaneous transluminal angioplasty is the standard treatment for dialysis access-induced stenosis. Unfortunately, it is also associated with vessel wall trauma, which causes further intimal hyperplasia and restenosis. Data from randomized controlled trials (RCTs) and systematic reviews of the use of drug-coated balloons (DCBs) for dialysis access stenosis have been controversial. While several single-center trials or RCTs have reported safe and effective use of DCBs, conflicting results still exist. Furthermore, paclitaxel is known to be associated with an increased mortality risk. Herein, we review the current evidence on the role of DCBs in the treatment of dialysis access stenosis. View Full-Text
Keywords: hemodialysis access; stenosis; paclitaxel; drug coated balloon; patency; mortality hemodialysis access; stenosis; paclitaxel; drug coated balloon; patency; mortality
Show Figures

Figure 1

MDPI and ACS Style

Kim, H. Drug-Coated Balloon for Arteriovenous Access Stenosis in Hemodialysis Patients. Kidney Dial. 2021, 1, 20-28. https://doi.org/10.3390/kidneydial1010004

AMA Style

Kim H. Drug-Coated Balloon for Arteriovenous Access Stenosis in Hemodialysis Patients. Kidney and Dialysis. 2021; 1(1):20-28. https://doi.org/10.3390/kidneydial1010004

Chicago/Turabian Style

Kim, Hyangkyoung. 2021. "Drug-Coated Balloon for Arteriovenous Access Stenosis in Hemodialysis Patients" Kidney and Dialysis 1, no. 1: 20-28. https://doi.org/10.3390/kidneydial1010004

Find Other Styles

Article Access Map by Country/Region

1
Back to TopTop