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. 2023 Jul 7;15(7):e41534.
doi: 10.7759/cureus.41534. eCollection 2023 Jul.

Assessing the Inflow Segment of a Hemodialysis Access: The Fogarty Balloon Occlusion Technique

Mona J Malik  1 , Rema J Nabi  2
Affiliations

Assessing the Inflow Segment of a Hemodialysis Access: The Fogarty Balloon Occlusion Technique

Mona J Malik et al. Cureus. .

Abstract

Dialysis access maintenance often requires a fistulogram or shuntogram of arteriovenous access. Assessment of the arterial inflow segment and arterial anastomosis is often a critical portion of the procedure. Retrograde occlusive angiography (ROA) is often used to properly assess the inflow. Manual compression using finger compression or a hemostat is often described in the literature. The Fogarty balloon occlusion technique using a 4-Fr Fogarty catheter balloon (Henry Shein) is a simple and cost-effective method that preserves image quality and decreases radiation exposure in retrograde occlusive angiography.

Keywords: arteriovenous access; dialysis access; fistula; fistulogram; graft; vascular surgery.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Fistulogram with the assessment of venous outflow
Figure 2
Figure 2. 4-Fr Fogarty balloon catheter attached to a three-way stop cock
Figure 3
Figure 3. Fogarty balloon inflated to occlude the venous outflow tract
Figure 4
Figure 4. Arterial inflow segment evaluation (arrow)
Figure 5
Figure 5. Retrograde angiography with balloon occlusion of the venous outflow segment with delineation of aneurysm in the arterial inflow segment
Figure 6
Figure 6. Road map being used to treat the aneurysmal segment with stent graft
See this image and copyright information in PMC

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References

    1. Transradial approach for percutaneous intervention of malfunctioning arteriovenous accesses. Le L, Brooks A, Donovan M, Smith TA, Sternbergh WC 3rd, Bazan HA. J Vasc Surg. 2015;61:747–753. - PubMed
    1. Kandarpa K, Machan L. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. Handbook of interventional radiologic procedures, fourth edition.
    1. Retrograde angiography and the risk of arteriovenous fistula perforation. Salman L, Asif A, Beathard GA. Semin Dial. 2009;22:698–701. - PubMed
    1. Aggressive treatment of early fistula failure. Beathard GA, Arnold P, Jackson J, Litchfield T. Kidney Int. 2003;64:1487–1494. - PubMed
    1. Inflow stenosis in arteriovenous fistulas and grafts: a multicenter, prospective study. Asif A, Gadalean FN, Merrill D, Cherla G, Cipleu CD, Epstein DL, Roth D. Kidney Int. 2005;67:1986–1992. - PubMed

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