An expeditious and precise method for diameter reduction of venous aneurysm causing arteriovenous fistula steal syndrome

Clinically significant dialysis access steal syndrome occurs in 1% to 8% of patients. In the present report, we describe an innovative, hybrid option for venoplasty of a cephalic vein aneurysm using a vascular staple device in conjunction with a 6-mm, endovascular balloon placed a few centimeters di...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2023-06, Vol.9 (2), p.101169, Article 101169
Main Authors: Yonkus, Jennifer A., Tallarita, Tiziano, Sen, Indrani, Beckermann, Jason, Carmody, Thomas
Format: Article
Language:English
Subjects:
Arteriovenous fistula revision
Case report
Cephalic vein aneurysm
Steal syndrome
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Summary:Clinically significant dialysis access steal syndrome occurs in 1% to 8% of patients. In the present report, we describe an innovative, hybrid option for venoplasty of a cephalic vein aneurysm using a vascular staple device in conjunction with a 6-mm, endovascular balloon placed a few centimeters distal to the brachial artery anastomosis in a 61-year-old man with stage 3 dialysis access steal syndrome secondary to overwhelming venous outflow. The patient experienced immediate postoperative symptom relief. The arteriovenous fistula was immediately accessible for dialysis, circumventing the need for a temporary dialysis catheter. The arteriovenous fistula was functional at 12 months of follow-up.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101169