She has multiple publications in ANNA Dr Shenoy is a Professor of Surgery and the Director of the Living Donor Transplantation Program at the Washington University School of Medicine in Saint Louis, Missouri. "Venopathy" at work: recasting neointimal hyperplasia in a new light.Advances and new frontiers in the pathophysiology of venous neointimal hyperplasia and dialysis access stenosis.Vascular access survival among incident hemodialysis patients in the United States.Highly increased cell proliferation activity in the restenotic hemodialysis vascular access after percutaneous transluminal angioplasty: implication in prevention of restenosis.An RCT (N = 40) evaluated treatment with paclitaxel drug-coated balloons (PCBs) (Paclitaxel-coated balloon angioplasty vs. plain balloon dilation for the treatment of failing dialysis access: 6-month interim results from a prospective randomized controlled trial.Paclitaxel-coated versus plain balloon angioplasty for dysfunctional arteriovenous fistulae: one-year results of a prospective randomized controlled trial.Paclitaxel-coated versus plain balloon angioplasty for dysfunctional arteriovenous fistulae: one-year results of a prospective randomized controlled trial.Percutaneous angioplasty using a paclitaxel-coated balloon improves target lesion restenosis on inflow lesions of autogenous radiocephalic fistulas: a pilot study.One RCT (N = 40) compared paclitaxel-coated balloon versus plain balloon for PTA in stenotic AV access (14 AVF [n = 14] and 26 AVG) at 1 yearPaclitaxel-coated balloon angioplasty vs. plain balloon dilation for the treatment of failing dialysis access: 6-month interim results from a prospective randomized controlled trial.Abbreviations: AV, arteriovenous; AVF, arteriovenous fistula; AVG, arteriovenous graft; CI, confidence interval; HR, hazard ratio; PTA, primary balloon angioplasty; RR, relative risk.Thrombosis was not significantly different with PCB versus plain balloon (RR, 1.0; 95% CI, 0.l6-6.42). Mechanical interventions are similarly subdivided into fibrin sheath disruption, catheter exchange, and CVC removal with replacement.Due to complex anatomy of the thoracic veins, CVC malposition is commonMigration of central lines from the superior vena cava to the azygous vein.Deviations of placement/function of permanent central vein catheters for hemodialysis.CVC dysfunction in these cases is due to direct contact of the CVC tip or its side holes with the vessel wall, causing obstruction of blood flow. based guidelines for hemodialysis vascular access since 1996. These include laser extraction similar to pacemaker lead extraction and intraluminal CVC dilation that dislodges the CVC from vessel walls.A novel technique for tethered dialysis catheter removal using the laser sheath.The stuck catheter: a hazardous twist to the meaning of permanent catheters.Although uncommon, complications such as resistant adherent CVCs, also known as a Regular re-evaluation of the patient’s use of CVC required, including whether the patient should receive conservative care.Materials to prevent resistant adherent CVCs (stuck catheters); do newer removal techniques prevent stuck catheters in the long term?Once an AV access is created and nurtured to “readiness for cannulation,” the next important step is AV access cannulation.
Cannulation of fi stulae and grafts and accession of hemodialysis catheters and port catheter systems. Use of a non-nephrotoxic contrast material, carbon dioxide, or ultrasound should be used for patients not yet on dialysis therapy. He has authored or coauthored a number of articles and book chapters on vascular access in the pediatric hemodialysis patient. Formal comparative studies directly evaluating these 2 methods in salvaging nonmaturing AVFs are lacking.
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