Arteriovenous Fistula Salvage Utilizing a Hybrid Vascular Graft. Issue 2 (March 2014)

• Record Type: Journal Article
• Authors: Jones, Robert G.; Inston, Nicholas G.; Brown, Timothy
• Is Part Of: Journal of vascular access. Volume 15:Issue 2(2014)
• Page Start: 135
• Page End: 137
• Publication Date: 2014-03
• Subjects: Arteriovenous graft -- Dialysis fistula -- Salvage of access; Arterial catheterization -- Periodicals; Intravenous catheterization -- Periodicals; 612.13
• DOI: 10.5301/jva.5000191
• Languages: English
• ISSNs: 1129-7298

Abstract

Introduction: Loss of arteriovenous fistula as access for hemodialysis leads to significant morbidity and increased mortality risk. Methods: Maintenance of this access is of paramount importance and we describe a case of a patient with a functioning radiocephalic fistula with associated arm swelling due to poor narrow caliber venous drainage above the elbow but with normal central veins. Results: A hybrid vascular graft was anastomosed to the upper extent of the fistula and the nitonol stent section introduced into the patent axillary vein. Conclusion: The described method led to resolution of symptoms and arm swelling. The described method allowed the continued use of a mature fistula.