From ultrasound to intervention: Dr Kate Steiner on AVF lesion assessment

In this episode of the "Let's Talk About Access" podcast series, Dr Alexandros Mallios welcomes Dr Kate Steiner, interventional radiologist and expert in vascular access imaging, to discuss the role of ultrasound in AVF lesion characterisation and treatment planning. 

Drawing on her extensive experience, Dr Steiner explains how ultrasound can help distinguish different patterns of intimal thickening, the implications for drug-coated balloon therapy, and why understanding lesion biology is essential to selecting the most appropriate treatment. 

The conversation also explores the distribution of neointimal hyperplasia across different access sites, the expanding role of covered stents, the complementary use of ultrasound and fluoroscopy, and the value of a multidisciplinary vascular access clinic in advancing patient care. 

Listen to this fascinating discussion to discover how imaging can refine clinical decision-making and optimise endovascular access interventions.