[Percutaneous transluminal angioplasty in Brescia-Cimino shunt insufficiency].

Forty-eight patients with failing arteriovenous dialysis fistulas were evaluated in an 18-month period. Forty-six of dialysis access fistulas were of the Brescia-Cimino type; two were fistulas in the upper forearm. PTA was technically feasible in twenty-three patients (44%). 54% dilatations with polyethylene balloons were initially successful and patent at 3 months; 43% were patent at 6 months; and 24% after more than 9 months. Two complications were encountered. PTA is recommended in Brescia-Cimino type dialysis fistulas, as the procedure prevents damage to the arterial and venous vessels suitable for a new fistula at the same forearm. The procedure may be performed on an outpatient basis.