Hemodialysis Clinical Trial
Official title:
Placement of Covered Stents to Treat Hemodialysis Access Stenoses in the Cephalic Arch and Central Veins
Balloon angioplasty is used to open up a narrowing that forms in hemodialysis fistula. Two
areas of particular problems are the terminal portion of the cephalic vein near the shoulder
and the central veins in the chest. Although angioplasty is standard of care the treated
narrowed segments of vein mostly renarrow within 3 months requiring retreatment to keep your
dialysis access functional. Recently there has been introduction of a new technology called
a covered stent graft. Initial studies suggest that placing this device across the area of
narrowing leads to dialysis access staying open longer and needing less angioplasty
treatments.
This study is designed to compare angioplasty (standard of care) versus using a covered
stent graft. The investigators will then look at the dialysis records and future
fistulograms to see if there is decreased flow through the fistula at 3, 6 and 12 months
after the initial procedure.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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