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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

Postpercutaneous angioplasty fistulagram with satisfactory relief of the stenoses at both ends of the graft
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Figure 4: Postpercutaneous angioplasty fistulagram with satisfactory relief of the stenoses at both ends of the graft

Mentions: A surveillance fistulagram was performed on 15/06/12 because of rising venous pressures, revealed the presence of significant stenosis (>50%) at both ends of the veno-venous graft [Figure 2]. The stenotic segment could not be negotiated using standard 0.035 guide wire. Hence, a hydrophilic glidewire was guided over a Vanshie guiding catheter to cross the stenotic segment. A No. 8 Bard Conquest high pressure balloon was passed over the guide wire, and the stenotic segments at both ends of the graft were sequentially dilated [Figure 3]. Postdilatation contrast runs showed that the stenoses were satisfactorily relieved [Figure 4]. Since then, the patient has been undertaking hemodialysis without problems.


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

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

Postpercutaneous angioplasty fistulagram with satisfactory relief of the stenoses at both ends of the graft
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Postpercutaneous angioplasty fistulagram with satisfactory relief of the stenoses at both ends of the graft
Mentions: A surveillance fistulagram was performed on 15/06/12 because of rising venous pressures, revealed the presence of significant stenosis (>50%) at both ends of the veno-venous graft [Figure 2]. The stenotic segment could not be negotiated using standard 0.035 guide wire. Hence, a hydrophilic glidewire was guided over a Vanshie guiding catheter to cross the stenotic segment. A No. 8 Bard Conquest high pressure balloon was passed over the guide wire, and the stenotic segments at both ends of the graft were sequentially dilated [Figure 3]. Postdilatation contrast runs showed that the stenoses were satisfactorily relieved [Figure 4]. Since then, the patient has been undertaking hemodialysis without problems.

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