Percutaneous Intervention for Failing/Failed Vascular Access

Abstract

First choice of treatment for failing or failed vascular access is widely accepted to be percutaneous intervention. There are two types of vascular access; Arteriovenous Fistula (AVF) and Arteriovenous Grafting (AVG), and each access type which has different stenotic lesions of predilection should be approached in different way. In this short lecture, I will introduce procedural details of percutaneous balloon angioplasty for vascular access, treatment options for recalcitrant or recurrent stenotic lesion, or central venous stenosis/occlusion, and new devices such as stent-graft, and Drug-coated Balloon (DCB).