The Role of Endovascular Stents in Dialysis Access Maintenance.


:Vascular stenosis is most often the culprit behind hemodialysis vascular access dysfunction, and although percutaneous transluminal angioplasty remains the gold standard treatment for vascular stenosis, over the past decade the use of stents as a treatment option has been on the rise. Aside from the 2 Food and Drug Administration-approved stent grafts for the treatment of venous graft anastomosis stenosis, use of all other stents in vascular access dysfunction is off-label. Kidney Disease Outcomes Quality Initiative recommends limiting stent use to specific conditions, such as elastic lesions and recurrent stenosis; otherwise, additional adapted indications are in procedure-related complications, such as grade 2 and 3 hematomas. Published reports have shown the potential use of stents in a variety of conditions leading to vascular access dysfunction, such as venous graft anastomosis stenosis, cephalic arch stenosis, central venous stenosis, dialysis access aneurysmal elimination, cardiac implantable electronic device-induced stenosis, and thrombosed arteriovenous grafts. Although further research is needed for many of these conditions, evidence for recommendations has been clear in some; for instance, we know now that stents should be avoided along cannulation sites and should not be used in eliminating dialysis access aneurysms. In this review article, we evaluate the available evidence for the use of stents in each of the aforementioned conditions leading to hemodialysis vascular access dysfunctions.


Adv Chronic Kidney Dis


El Kassem M,Alghamdi I,Vazquez-Padron RI,Asif A,Lenz O,Sanjar T,Fayad F,Salman L




Has Abstract


2015-11-01 00:00:00














  • Women and transplantation: fertility, sexuality, pregnancy, contraception.

    abstract::Since 1958, thousands of women with kidney transplants have become pregnant. Although most pregnancies in kidney transplant recipients are successful, they are high-risk endeavors. This seems more a function of the associated issues and comorbidities that often affect individuals with kidney transplants (eg, hypertens...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Josephson MA,McKay DB

    更新日期:2013-09-01 00:00:00

  • Improving cycler prescriptions in peritoneal dialysis through informatic profiling.

    abstract::Cycler-based dialysis is the most common form of peritoneal dialysis in the United States of America, accounting for more than two thirds of patients on the modality. The advent of modern cyclers has enhanced the accessibility of therapy-delivery data. Cyclers have transformed peritoneal dialysis from an unobserved ho...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Mujais S,Story K

    更新日期:2007-07-01 00:00:00

  • Phosphate transporters in renal, gastrointestinal, and other tissues.

    abstract::Inorganic phosphate (Pi) is essential for all living organisms. Bound to organic molecules, Pi fulfills structural, metabolic, and signaling tasks. Therefore, cell growth and maintenance depends on efficient transport of Pi across cellular membranes into the intracellular space. Uptake of Pi requires energy because th...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章


    authors: Forster I,Hernando N,Sorribas V,Werner A

    更新日期:2011-03-01 00:00:00

  • The origins of Western herbal medicines for kidney diseases.

    abstract::This article gathers the data on the plants used for the treatment of pathologies of kidneys and the urinary tract from the most ancient medical texts of classical antiquity, the Corpus Hippocraticum , the Aristotelian Problems , and De Materia Medica by Dioscorides. If hippocratic information is scant and practical, ...

    journal_title:Advances in chronic kidney disease

    pub_type: 历史文章,杂志文章,评审


    authors: Touwaide A,De Santo NG,Aliotta G

    更新日期:2005-07-01 00:00:00

  • Nephrologist Leadership in Advocacy and Public Policy.

    abstract::As a specialty and profession, nephrology has deep roots in the arenas of advocacy and public policy, with nephrologists playing a significant role in garnering legislative attention on the needs of patients with end-stage renal disease. The depth of experiences and unique perspectives of nephrologists and sharing our...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Blaser RE,Singer D,Schmidt RJ

    更新日期:2018-11-01 00:00:00

  • Outcomes associated with hypogonadism in men with chronic kidney disease.

    abstract::Chronic kidney disease is commonly accompanied by disturbances in the hypothalamic-pituitary-gonadal axis. Such disturbances in men give rise to hypogonadism and low circulating testosterone levels. The deficiency in testosterone can contribute to clinical outcomes such as sexual dysfunction, decreased bone mineraliza...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Palmer BF

    更新日期:2004-10-01 00:00:00

  • Assessment of proteinuria.

    abstract::Proteinuria is a strong predictor of adverse cardiovascular and kidney events, and an accurate assessment of proteinuria is important for the evaluation and management of CKD. Total urinary protein can be assessed using dipstick, precipitation, and electrophoresis methods. Urinary albumin, the predominant urinary prot...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Viswanathan G,Upadhyay A

    更新日期:2011-07-01 00:00:00

  • Estimated Glomerular Filtration Rate; Laboratory Implementation and Current Global Status.

    abstract::In 2002, the Kidney Disease Outcomes Quality Initiative guidelines for identifying and treating CKD recommended that clinical laboratories report estimated glomerular filtration rate (eGFR) with every creatinine result to assist clinical practitioners to identify people with early-stage CKD. At that time, the original...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Miller WG,Jones GRD

    更新日期:2018-01-01 00:00:00

  • The treatment of HIV-associated nephropathy.

    abstract::Antiretroviral therapy (ART) preserves kidney function in patients with human immunodeficiency virus (HIV)-associated nephropathy (HIVAN). Emerging data also document substantial renal benefits of ART in the general HIV-infected population, which is associated in part with suppression of HIV-1 viral replication. The e...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Kalayjian RC

    更新日期:2010-01-01 00:00:00

  • Care of the Pediatric Patient on Chronic Dialysis.

    abstract::Optimal care of the pediatric end-stage renal disease (ESRD) patient on chronic dialysis is complex and requires multidisciplinary care as well as patient/caregiver involvement. The dialysis team, along with the family and patient, should all play a role in choosing the dialysis modality which best meets the patient's...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Chua AN,Warady BA

    更新日期:2017-11-01 00:00:00

  • On the evolution of pediatrics and the emergence of pediatric nephrology.

    abstract::Pediatrics is a relatively new discipline; it came into existence at the end of the nineteenth century, when the number practitioners of medicine interested in the study and teaching of pediatrics grew in proportion to research in diseases of children. The study of two childhood diseases was instrumental in the very e...

    journal_title:Advances in chronic kidney disease

    pub_type: 历史文章,杂志文章


    authors: Eknoyan G

    更新日期:2005-10-01 00:00:00

  • Epidemiology of hypertension in the elderly with chronic kidney disease.

    abstract::As the population of the United States ages, the prevalence of age-related chronic conditions such as hypertension and chronic kidney disease (CKD) will also increase. Available studies in nationally representative samples and select outpatient populations indicate that hypertension is very common in older adults with...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Fischer MJ,O'Hare AM

    更新日期:2010-07-01 00:00:00

  • Treatment Options for Coronavirus Disease 2019 in Patients With Reduced or Absent Kidney Function.

    abstract::Coronavirus disease 2019, the disease caused by the severe acute respiratory syndrome coronavirus 2 virus, was first identified in the Hubei Province of China in late 2019. Currently, the only role for therapy is treatment of the disease, as opposed to postexposure prophylaxis, however multiple clinical trials are cur...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Miller-Handley H,Luckett K,Govil A

    更新日期:2020-09-01 00:00:00

  • Complications of arteriovenous fistulae: beyond venous stenosis.

    abstract::Vascular access is the lifeline of hemodialysis patients. Currently, arteriovenous fistulae and grafts are considered permanent options for vascular access, and they share common access problems. The successful creation of a permanent vascular access depends on patient characteristics, vessel parameters, and possibly ...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Kumbar L

    更新日期:2012-05-01 00:00:00

  • Treatment of Diabetic Kidney Disease With Hypertension Control and Renin Angiotensin System Inhibition.

    abstract::The global incidence and prevalence of diabetes continues to expand due primarily to the influences of obesity and the contribution of obesity to the progression of type 2 diabetes mellitus. The rising prevalence of type 2 diabetes has driven an increase in rates of CKD in the past 3 decades in the United States. In t...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Patney V,Chaudhary K,Whaley-Connell A

    更新日期:2018-03-01 00:00:00

  • Nephrotoxic Chemotherapy Agents: Old and New.

    abstract::In the last several decades, advancements in chemotherapy have improved the overall survival of cancer patients. These agents, however, are associated with adverse effects, including various kidney lesions. This review summarizes the nephrotoxic potential of chemotherapy agents, old and new, as well as the different f...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Nicolaysen A

    更新日期:2020-01-01 00:00:00

  • Going Home: Access for Home Modalities.

    abstract::The cost and health burden of ESRD continues to increase globally. Total Medicare expenditure on dialysis has increased from 229 million USD in 1973 to 35.4 billion USD in 2016. Dialysis access can represent almost a tenth of these costs. Central venous catheters have been recognized as a significant factor driving co...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Gardezi AI,Sequeira A,Narayan R

    更新日期:2020-05-01 00:00:00

  • Diuretics in the Management of Cardiorenal Syndrome.

    abstract::The leading cause of death worldwide is cardiovascular disease. The heart and the kidneys are functionally interdependent, such that dysfunction in one organ may cause dysfunction in the other. By one estimate, more than 60% of patients with congestive heart failure develop chronic kidney disease. Volume overload and ...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Chitturi C,Novak JE

    更新日期:2018-09-01 00:00:00

  • Randomized controlled trials in nephrology: state of the evidence and critiquing the evidence.

    abstract::The randomized controlled trial (RCT) remains the "gold standard" for the evaluation of therapies. Despite some progress during the past decade, the number and quality of published RCTs addressing the core issues for patients with CKD and with renal diseases, in general, lag behind other areas in internal medicine. Th...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Samuels JA,Molony DA

    更新日期:2012-01-01 00:00:00

  • Clinical Approach to Diagnosing Acute and Chronic Tubulointerstitial Disease.

    abstract::Tubulointerstitial diseases are a relatively common cause of acute and/or chronic kidney disease. Acute tubulointerstitial nephritis (ATIN) most commonly develops in patients exposed to various medications; however, it can occur from infections, autoimmune and systemic diseases, environmental exposures, and some idiop...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Perazella MA

    更新日期:2017-03-01 00:00:00

  • Living donor practices in the United States.

    abstract::Living kidney donation is a common procedure in the United States. Substantial variation exists between transplant centers in their protocols and exclusion criteria for potential living donors. In the absence of clinical trial data to guide decisions about exclusion criteria, knowledge of current practices is an impor...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Mandelbrot DA,Pavlakis M

    更新日期:2012-07-01 00:00:00

  • Antimicrobial locks: putting the lock on catheter infections.

    abstract::Infectious complications resulting from catheter use in the hemodialysis population remain as the significant cause of morbidity and mortality in this patient population. Because conservation of vascular access sites remains a therapeutic mainstay for chronic hemodialysis patients, clinical investigators have evaluate...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Manierski C,Besarab A

    更新日期:2006-07-01 00:00:00

  • Permeability factors in focal and segmental glomerulosclerosis.

    abstract::Focal and segmental glomerulosclerosis (FSGS) represents a group of glomerular disorders, identified on kidney biopsy, that progress in the histopathologic pattern of sclerosis in parts of some glomeruli. Damage to podocytes usually marks the beginning of the disease, most evident in primary FSGS. In addition to genet...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Reiser J,Nast CC,Alachkar N

    更新日期:2014-09-01 00:00:00

  • Epidemic of childhood obesity: implications for kidney disease.

    abstract::Childhood obesity has become a global epidemic. Childhood obesity has many long-term adverse effects on morbidity and mortality. The prevalence of end-stage renal disease (ESRD) has risen dramatically in the past decade in parallel with the increase in obesity. Our current understanding of the consequences of childhoo...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Wang Y,Chen X,Klag MJ,Caballero B

    更新日期:2006-10-01 00:00:00

  • Dry weight: sine qua non of adequate dialysis.

    abstract::Attainment of dry weight remains a major clinical problem and challenge in current-day dialysis therapies. The vicious cycle of fluid overload and inadequate intradialytic fluid removal with hypotensive episodes, and subsequent poor clinical outcomes, is reinforced by excessive salt accumulation orally as well as duri...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Wystrychowski G,Levin NW

    更新日期:2007-07-01 00:00:00

  • Education of patients with chronic kidney disease at the interface of primary care providers and nephrologists.

    abstract::Patient education is promoted as an integral part of effective kidney disease management. Programs and tools are available for providers and patients to support patient CKD education in primary care and nephrology. Challenges to providing patient education across practice settings include patients' lack of awareness o...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Wright Nunes JA

    更新日期:2013-07-01 00:00:00

  • Stabilization of glomerular filtration rate in advanced chronic kidney disease: a two-year follow-up of a cohort of chronic kidney disease patients stages 4 and 5.

    abstract::This study examines whether stabilization of the glomerular filtration rate (GFR) is possible in patients with advanced chronic kidney disease (CKD), managed in a CKD clinic. A cohort of 82 patients with stages 4 and 5 CKD was followed for a period of 2 years after initiation of erythropoietin for anemia to determine ...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章


    authors: Serrano A,Huang J,Ghossein C,Nishi L,Gangavathi A,Madhan V,Ramadugu P,Ahya SN,Paparello J,Khosla N,Schlueter W,Batlle D

    更新日期:2007-01-01 00:00:00

  • Referral and comanagement of the patient with CKD.

    abstract::CKD is a common condition with well-documented associated morbidity and mortality. Given the substantial disease burden of CKD and the cost of ESRD, interventions to delay progression and decrease comorbidity remain an important part of CKD care. Early referral to nephrologists has been shown to delay progression of C...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Campbell GA,Bolton WK

    更新日期:2011-11-01 00:00:00

  • The Kidney Biopsy in Systemic Lupus Erythematosus: A View of the Past and a Vision of the Future.

    abstract::The kidney biopsy advanced our understanding of kidney disease in systemic lupus erythematosus. It allowed for better recognition and classification of lupus nephritis (LN). Several LN classifications have been devised in an effort to inform treatment decision and predict prognosis, and these are being further updated...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Ayoub I,Cassol C,Almaani S,Rovin B,Parikh SV

    更新日期:2019-09-01 00:00:00

  • Role of oxidative stress in diabetic nephropathy.

    abstract::Accumulating research suggests that oxidative stress is a significant contributor to the pathogenesis of diabetic nephropathy. The normal kidney generates a substantial amount of oxidative stress because of its high metabolic activity that is balanced by an extensive antioxidant system. However, in pathologic states s...

    journal_title:Advances in chronic kidney disease

    pub_type: 杂志文章,评审


    authors: Vasavada N,Agarwal R

    更新日期:2005-04-01 00:00:00