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Vascular Surgery 2019 Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482 Page 43
March 28-29, 2019
Rome, Italy
Vascular Surgery
4th Edition of World Congress & Exhibition on
Stent grafts as an endovascular option for hemodialysis-
related venous occlusive disease (VOD)
T M Steinke and L Nuth
Schoen Klinik Duesseldorf, Germany
T M Steinke et al., J Vasc Endovasc Therapy 2019, Volume 4
DOI: 10.21767/2573-4482-C1-005
Purpose: This prospective single center observational
registry evaluated the efficacy and durability of a new
covered stent (Covera/ CRBard) in treating VOD to preserve
a functional dialysis access circuit.
Material & Methods: In 53 patients (45.3% men; mean age
67.4 years, 28-89 years) with VOD, covered stents (Covera,
CRBard) were used to treat symptomatic venous stenosis
or to enable av-access functionality. The target lesion was
accessed via the dialysis access site. The Covera covered
stent (BD/Bard Peripheral Vascular) was implanted in all
patients.
Results: Technical success was 100%. Target lesion
primary patency (PP) at 6 month was 86%. Mean follow
up was 6, 9 month. Study Population Mortality was 5 % at
6 month. Secondary patency (SP), access circuit patency
rates (ACP), additional procedures for access salvage
and subgroup analysis of different locations of stentgraft
implantation (central, cephalic arch, outflow and canulation
zone) are reported.
Conclusion: Placement of covered stents for hemodialysis-
related VOD is safe, relieved symptoms, and enabled
functionality of dialysis av-access circuits. There is a need
for prospective and randomized studies to determine
whether and where covered stents provide superior long-
term results to those achieved with PTA and DCB-PTA.
Recent Publications
1. T Steinke (2019) Endovascular arteriovenous
fistulaforhemodialysisaccess.Gefässchirurgie
24:25-31.
2. T Steinke, Reber P U, Vogt B, Patel A G and
Kniemeyer H W (2019) Surgery for aortoiliac
aneurysms in kidney transplant recipients. J
Cardiovasc Surg (Torino) 41(6):919-25.
3. T M Steinke, P U Reber, H Hakki and H
W Kniemeyer (1999) Haematuria and an
abdominal aortic aneurysm-warning of an
aortocaval fistula. Endovasc Surg. 18(6):530-1.
Biography
T M Steinke has his expertise as Consultant/Certified Specialist in Vas-
cular Surgery; Certified Specialist in Endovascular Surgery (DGG). He
is the Chief Physician of the Department of Vascular Surgery Schoen-
Klinik Duesseldorf since January 2017. He also worked as Chief Phy-
sician of the Department of Vascular Surgery Dominikus-Krankenhaus
Duesseldorf from May 2005 till December 2016. He is the Outpatient
Consultant at the Kaiserberg Klinik/ Vascular Surgery and main focus
on minimal invasive Venous Therapy. He serves as a Member of the
German Society for Vascular Surgery (DGG), German Society for Sur-
gery (DGCh), German Society for Angiology (DGA), Association Sur-
geons of North-Rhine-Westfalia.