Table 1.
Patient demographics.
Fig 1.
Case-study using sirolimus coated balloon.
74-year-old Malay male with a right mid-forearm fistula of 4.2 years maturity presenting with dropping access flow and having had CBA within 3 months prior (A) pre-plasty fistulogram showing a juxta-anastomotic stenosis (B) intra-aneurysmal segment stenosis and cephalic outflow vein stenosis located near antecubital fossa (C) & (D) use of sirolimus coated balloon drug elution post pre-dilatation with high pressure non-compliant balloons for 2 minutes (E) final fistulogram result with good luminal gain of both target lesions (F) baseline ultrasound post SCB at juxta-anastomosis (JAS) portion (G) Duplex ultrasound at 3 months post intervention at JAS and (H) 6 months post treatment at JAS (I) inter-aneurysmal segment portion of cephalic vein at 3 months and (J) same area at 6 months showing minimal change and access flow. One thing to note is that the NIH effect in the wall of the fistula was less pronounced at 3 and 6 months.
Table 2.
Procedural details.
Table 3.
Procedural outcomes.
Fig 2.
(A) Cumulative incidence of TLR for lesions at 6-months (n = 35) and subgroups [De novo lesions (n = 9), Recurrent lesions (n = 26)] and cumulative incidence of deaths at 6months (B) Cumulative incidence of TLR for subgroup JAS (n = 13) and non-JAS (n = 22) lesions.