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.
Nice pictures. Perhaps DCB perform better than simple ballooning alone…however, i’d definitely consider a more drastical measure such as stenting or stent grafts in such cases.
Dear Stratos, thank you for your comment. To be honest, I am not sure which is the best treatment strategy for these lesions. Based on our algorithm we try to avoid any permanent scaffolding. Nonetheless, in the absence of head to head comparisons it is not possible to make any evidence based recommendations.