Salvage of a subacute failure in femoral dialysis loop graft using stent covering the arterial and venous anastomosis

Abstract Endovascular treatment can be considered the first line therapy in the majority of dysfunctioning arteriovenous fistula. However, when early thrombosis of the arteriovenous access occurs, surgical treatment is recommended. In these cases, technical problems are the most frequent cause of th...

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Bibliographic Details
Published in:Minimally invasive therapy and allied technologies 2010-08, Vol.19 (4), p.248-250
Main Authors: Rabellino, M, Garcia-Nielsen, L, Baldi, S, Zander, T, Blasco, O, Maynar, M
Format: Article
Language:English
Subjects:
Aged
Angiography
Angioplasty, Balloon, Coronary
Arteriovenous Fistula - therapy
Arteriovenous fistula dysfunction
Arteriovenous Shunt, Surgical - adverse effects
Arteriovenous Shunt, Surgical - methods
Femoral Vein
Humans
Male
Renal Dialysis - adverse effects
stent
Treatment Failure
Vascular Surgical Procedures - adverse effects
Vascular Surgical Procedures - methods
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Summary:Abstract Endovascular treatment can be considered the first line therapy in the majority of dysfunctioning arteriovenous fistula. However, when early thrombosis of the arteriovenous access occurs, surgical treatment is recommended. In these cases, technical problems are the most frequent cause of the malfunction. We report a case of a subacute thrombosis of an arteriovenous fistula, femoral artery to femoral vein looped ePTFE with venous anastomosis occlusion and subocclusion lesion at the arterial anastomosis. Both anastomoses were treated using self-expandable stents, and no other intervention was necessary until the one-year follow-up for maintain patency.
ISSN:1364-5706
1365-2931
DOI:10.3109/13645701003644178