Library

Welcome to the Library of Vascupedia. Use our filters on the left side of the page to quickly find the content of your interest. You may select an area of interest and the respective indication or the media type.

Recorded video case

TUTORIAL VIDEO: Venous arterialization using conventional “off-the-shelf” devices

Although we favor a more distal location of the AVF to circumvent the need to use covered stent extensions to destroy the valves and avoid bleeding off venous flow via collaterals, sometimes (e.g. due to extreme vessel calcification) it is unavoidable to have to look for a more proximal inflow. The versatility of the VAST maneuver allows to perform a proximal DVA at the origin of the PT artery with conventional off-the-shelf devices.”

JEVT 2019 Apr;26(2):213-218
JEVT 2019 Jun;26(3):427-428

July 7, 2019 No Comments
Poll 01/04/2019 – 30/04/2019

The AV access salvage procedure

Gender: Male

Age: 75 years old

Comorbidity: End-Stage Renal Disease, Diabetes, Arterial hypertension, Dyslipidemia, on hemodialysis in the last 5 years

Symptoms:  Acute occlusion of a surgically created left-sided brachial cephalic AV fistula

Technical note

Endovascular revascularisation of left brachiocephalic vein with covered balloon-expandable stent

A 36 y.o. female with a right brachial-cephalic upper arm direct hemodialysis access presented with symptoms of central venous hypertension due to severe stenosis at the transition between the right brachiocephalic vein and the SCV. After PTV of the lesion, due to residual stenosis, a balloon-expandable covered stent (BeGraft Peripheral, Bentley) was deployed restoring the lumen. The CT-angiography performed 19 months later confirmed the patency of the stent-graft.

March 11, 2019 No Comments
Live case

Creation of percutaneous arteriovenous fistula in a complex case

Dr. Mallios (Vascular Surgeon, Paris) demonstrates in a complex live case the percutaneous creation of an arteriovenous fistula with the Ellipsys system (Avenu Medical) and discusses with the experts all relevant steps of the procedure.

December 6, 2018 2 Comments
Review of the literature

Surgical versus percutaneous arteriovenous fistula (pAVF): it’s all about hemodynamics

Dr. Franco summarizes all important information about hemodynamics after open surgical and percutaneous AVF creation. Especially, as regards the latter, he explains why pAVF leads the physicians to think out of the box and re-define all aspects about maturation, high-flow and steal phenomenon.

December 6, 2018 No Comments
Technical note

Real world experience: nephrologists’ opinion on pAVFs

Dr. Hebibi (nephrologist, Paris, FR) demonstrates her real-world experience with the percutaneous arteriovenous fistulae. She presents recorded videos from the cannulation of the fistulae and discusses important technical aspects, which are important for every nephrologist.

December 6, 2018 No Comments
Live case

CiDA: Percutaneous AV fistula between proximal radial artery and deep communicating vein

We are delighted to offer to our Vascupedians the opportunity to watch again the first live case of pAVF creation in the most important vascular access meeting in the world: CiDA. In this completely unedited video Dr Mallios creates a percutaneous AVF with the Ellipsys Vascular Access System (Avenu Medical Juan Capistrano CA USA) between the proximal radial artery and the deep communicating vein at the level of proximal forearm.

November 19, 2018 No Comments
Review of the literature

Drug-coated balloons for AV fistula: overview of the literature

Endovascular treatment of the dysfunctional dialysis access resembles the “Myth of Sisyphus”. The cycle of stenosis-treatment-restenosis keeps going on and on. DCB technology promises to slow down the process of restenosis and thus, extend the period between interventions. This presentation is an overview of the current literature on DCB use in the treatment of dysfunctional dialysis access. Enjoy!

October 25, 2018 No Comments
Recorded video case

EndoAVF creation with the Ellipsys Vascular Access System

Creation of a percutaneous AVF -endoAVF- with the Ellipsys Vascular Access System (Avenu Medical, San Juan Capistrano, CA)
After puncture of a superficial vein at the elbow level and under ultrasound visualisation, the needle is navigated through the deep communicating vein and a direct puncture of the proximal radial artery is performed. The Ellipsys catheter allows the creation of a permanent anastomosis through tissue fusion. An immediate PTA of the anastomosis accelerates maturation

August 23, 2018 No Comments
Case report

Surgical thrombectomy and DCB angioplasty for AV fistula salvage

Drug coated balloon (DCB) angioplasty has been proven a valuable tool in the treatment of femoropopliteal PAD. But do we have enough data to support the use of DCBs in AV fistula salvage procedures? In this case DCB angioplasty was performed to treat a post-thrombectomy vein stenosis.

June 13, 2018 2 Comments
Recorded case
Video Thumbnail - click for more.

Cannulating the endoAVF

Case courtesy of Prof. Dr. med. Frank Dellanna from DaVita Clinical Research Deutsch GmbH Dusseldorf, DE. The everlinQ and everlinQ 4 endoAVF Systems have been issued European CE Mark and Health Canada Medical Device License for the creation of an arteriovenous fistula for hemodialysis and are not approved for sale in the United States.
Technical note

Aspirational Mechanical Thrombectomy in AVF

Over the last few years, we have seen emerging technology aimed at the management of AVF thrombosis. Some have been developed from cardiac and neuro-intervention methods and techniques.
The following slides demonstrate some of these systems, along with a case using one of these devises to remove AVF clot. The aim is to give clinicians insight to an alternative management and to raise constructive discussions on the future of Thrombectomy methods.

June 10, 2018 2 Comments
Recorded case
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everlinQ 4 endoAVF System Taped Case LINC 2018

Dr. Rob Jones of Queen Elizabeth Hospital in Birmingham, UK creating an AVF for hemodialysis access using an endovascular approach with the everlinQ 4 endoAVF System. The everlinQ and everlinQ 4 endoAVF Systems have been issued European CE Mark and Health Canada Medical Device License for the creation of an arteriovenous fistula for hemodialysis and are not approved for sale in the United States.
Case report

Use of HERO graft as alternative for limited hemodialysis access

This presentation describes the characteristics of the HERO graft as an alternative for central vein obstructions, exhausted venous situation, recurrent occlusions of dialysis catheters or AV access at the groin. It includes a case report as well as a review of the current literature.

May 27, 2018 No Comments