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Extending the longevity of a complicated arteriovenous fistula using endovascular intervention.

Pawar B, Fernandes K, Sajiv CT - Indian J Nephrol (2014)

Bottom Line: A brachiocephalic arteriovenous fistula was complicated by a central venous stenosis, which could not be relieved.A cephalojugular bypass was performed using an interpositoned graft, which later developed tight stenoses at both ends of the graft.This was successfully treated with endovascular intervention, extending the longevity of the vascular access.

View Article: PubMed Central - PubMed

Affiliation: Department of Renal Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.

ABSTRACT
A brachiocephalic arteriovenous fistula was complicated by a central venous stenosis, which could not be relieved. A cephalojugular bypass was performed using an interpositoned graft, which later developed tight stenoses at both ends of the graft. This was successfully treated with endovascular intervention, extending the longevity of the vascular access.

No MeSH data available.


Related in: MedlinePlus

Fistulagram demonstrating central venous stenosis with collaterals
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Figure 1: Fistulagram demonstrating central venous stenosis with collaterals

Mentions: His initial dialysis vascular access was a left brachiocephalic AVF, which was lost to thrombosis which could not be surgically rescued. A right-sided internal jugular tunnelled line was used to sustain dialysis. A right brachiocephalic AVF was successfully constructed on 11/01/11. Over the ensuing months, he developed increasing venous pressures and deteriorating clearances. A digital subtraction arteriovenous fistulogram done on 15/06/11 revealed the presence of collateral veins and a complete stenosis of the distal subclavian vein [Figure 1], which could not be negotiated using endovascular techniques.


Extending the longevity of a complicated arteriovenous fistula using endovascular intervention.

Pawar B, Fernandes K, Sajiv CT - Indian J Nephrol (2014)

Fistulagram demonstrating central venous stenosis with collaterals
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127841&req=5

Figure 1: Fistulagram demonstrating central venous stenosis with collaterals
Mentions: His initial dialysis vascular access was a left brachiocephalic AVF, which was lost to thrombosis which could not be surgically rescued. A right-sided internal jugular tunnelled line was used to sustain dialysis. A right brachiocephalic AVF was successfully constructed on 11/01/11. Over the ensuing months, he developed increasing venous pressures and deteriorating clearances. A digital subtraction arteriovenous fistulogram done on 15/06/11 revealed the presence of collateral veins and a complete stenosis of the distal subclavian vein [Figure 1], which could not be negotiated using endovascular techniques.

Bottom Line: A brachiocephalic arteriovenous fistula was complicated by a central venous stenosis, which could not be relieved.A cephalojugular bypass was performed using an interpositoned graft, which later developed tight stenoses at both ends of the graft.This was successfully treated with endovascular intervention, extending the longevity of the vascular access.

View Article: PubMed Central - PubMed

Affiliation: Department of Renal Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.

ABSTRACT
A brachiocephalic arteriovenous fistula was complicated by a central venous stenosis, which could not be relieved. A cephalojugular bypass was performed using an interpositoned graft, which later developed tight stenoses at both ends of the graft. This was successfully treated with endovascular intervention, extending the longevity of the vascular access.

No MeSH data available.


Related in: MedlinePlus