{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:06:04Z","timestamp":1792681564850,"version":"4.5.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To report a retrospective observational analysis of standard balloon angioplasty (BA) vs. paclitaxel-coated balloon angioplasty (PCBA) for symptomatic central vein restenoses in patients with impaired native hemodialysis fistulas.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A retrospective review was conducted of 27 consecutive patients (15 men; mean age 66\u00b113.8 years, range 39\u201390) with 32 central vein stenoses (CVS; 6 axillary, 11 subclavian, 12 brachiocephalic, and\/or 3 superior caval veins) treated successfully using BA. Freedom from reintervention after BA of de novo lesions was 7.4\u00b17.9 months (range 1\u201324). Twenty-five (92.6%) patients developed symptomatic restenoses and were treated one or more times by BA (n=32) or PCBA (n=20) using custom-made paclitaxel-coated balloons (diameter 6\u201314 mm).\n                    <jats:bold>Results:<\/jats:bold>\n                    Technical (&lt;30% residual stenosis) and clinical (functional fistula) success rates for the initial and secondary angioplasty procedures were 100%. No minor\/major procedure-associated complications occurred. Mean follow-up was 18.4\u00b117.5 months. Kaplan-Meier analysis for freedom from target lesion revascularization (TLR) found PCBA superior to BA (p=0.029). Median freedom from TLR after BA was 5 months; after PCBA, &gt;50% of patients were event-free during the observation period (mean freedom from TLR 10 months). Restenosis intervals were prolonged by PCBA (median 9 months) vs. BA (median 4 months; p=0.023).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Paclitaxel-coated balloon angioplasty of central vein restenosis in patients with hemodialysis shunts yields a statistically significant longer freedom from TLR compared to standard balloon angioplasty.\n                  <\/jats:p>","DOI":"10.1177\/1526602814566907","type":"journal-article","created":{"date-parts":[[2015,3,20]],"date-time":"2015-03-20T21:31:11Z","timestamp":1426887071000},"page":"74-79","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":60,"title":["Paclitaxel-Coated Balloon Angioplasty for Symptomatic Central Vein Restenosis in Patients With Hemodialysis Fistulas"],"prefix":"10.1177","volume":"22","author":[{"given":"Alexander","family":"Massmann","sequence":"first","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Fries","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Obst-Gleditsch","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Minko","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roushanak","family":"Shayesteh-Kheslat","sequence":"additional","affiliation":[{"name":"Department of General, Abdominal, and Vascular Surgery, Saarland University Medical Center, Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arno","family":"Buecker","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc1992.1.1.54"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)80746-3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/096721099700500514"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.168.2.2969117"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2009.00636.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2012.06.014"},{"key":"e_1_3_2_8_2","first-page":"235","article-title":"Subclavian vein thrombosis: a frequent complication of subclavian vein cannulation for hemodialysis","volume":"26","author":"Vanherweghem JL","year":"1986","unstructured":"Vanherweghem JL, Yassine T, Goldman M, . 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