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(a) Fistulogram after the placement of the Optiflow device. (b) Pre-dilation fistulogram showing the stenosis just distal to the Optiflow device.
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The operation was uneventful and a palpable thrill was noted at the anastomosis site after the operation (fistulogram:Figure 2(a)). A venogram showed a 90% stenosis in the juxta-anastomotic area with aneurysmal dilation at this level (Figure 2(b)).
(a) Balloon angioplasty of the stenosis. (b) Post-angioplasty fistulogram showing no residual stenosis.
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Fremont, CA), followed by a 6-mm drug-coated Lutonix balloon (Bard Lutonix Inc., New Hope, MN) and leaving minimal residual stenosis (Figure 3(a) and (b)). Following the procedure, the patient resumed hemodialysis using the fistula after that.