Axillary-axillary Interarterial Chest Loop Graft for Successful Early Hemodialysis Access. Issue 3 (July 2013)

• Record Type: Journal Article
• Authors: Stephenson, Matthew A.; Norris, Joseph M.; Mistry, Hiren; Valenti, Domenico
• Is Part Of: Journal of vascular access. Volume 14:Issue 3(2013)
• Page Start: 291
• Page End: 294
• Publication Date: 2013-07
• Subjects: Arterioarterial -- Axillary-axillary -- Hemodialysis -- Interarterial -- Renal failure; Arterial catheterization -- Periodicals; Intravenous catheterization -- Periodicals; 612.13
• DOI: 10.5301/jva.5000121
• Languages: English
• ISSNs: 1129-7298

Abstract

Purpose: Obtaining adequate vascular access in patients undergoing chronic hemodialysis therapy can be demanding, particularly for those in whom all peripheral venous options have been exhausted. Case: We present a case of a 46-year-old woman with a history of complex vascular access for end-stage renal failure for whom there was no remaining possibility of venous access and had reached a palliative stage. We implanted an emergency loop axillary-axillary interarterial early needling graft. Post-operatively, the patient made a quick and uneventful recovery, resuming hemodialysis after only six days with no interventions necessary up to four months follow-up. To the best of our knowledge, this is the first dedicated case report describing the successful implantation of an axillary-axillary interarterial chest loop graft to re-establish access in a patient with exhausted options. Conclusion: We recommend the use of this technique to surgeons who find themselves in comparable situations in the future.