Iatrogenic or congenital arteriovenous fistula of left upper arm used for hemodialysis after venous superficialization

2014 ◽  
Vol 19 (1) ◽  
pp. 140-143
Author(s):  
Mariusz Kusztal ◽  
Krzysztof Letachowicz ◽  
Tomasz Gołębiowski ◽  
Ewa Wątorek ◽  
Przemysław Szyber ◽  
...  
2017 ◽  
Vol 18 (2) ◽  
pp. e20-e21 ◽  
Author(s):  
Usman K. Hayat ◽  
Aurang Z. Khawaja ◽  
Robert G. Jones ◽  
Nicholas G. Inston

2018 ◽  
Vol 47 (1-3) ◽  
pp. 236-239 ◽  
Author(s):  
Arif Asif ◽  
Mohamed M. Bakr ◽  
Michael Levitt ◽  
Tushar Vachharajani

Background: Conflicting data continue to surround the optimal dialysis access for the elderly. Many propose that catheters are the best option for this population; others emphasize the creation of an arteriovenous fistula. Summary: While an arteriovenous access is the best available access, it has a high early failure rate, particularly in the elderly. However, significant differences exist in forearm (men ≥65 years ~70%; women ≥65 years ~80%) versus upper arm (men ≥65 years ~40%; women ≥65 years ~38%) fistula failure rates in the elderly, with upper arm having much lower failure rates. Two percutaneous innovative techniques that successfully establish fistulas at the upper arm using proximal radial/ulnar ­artery as the inflow have been recently introduced. These procedures have been successfully performed in the elderly. Importantly, these techniques bypass the open surgical exploration and as such avoid the surgical manipulation of the juxta-anastomotic region (a common cause for the development of juxta-anastomotic stenosis and early fistula failure). Key Message: This article discusses the arteriovenous fistula creation in the elderly, highlights the factors necessary for successful fistula creation, and describes the 2 innovative techniques that can be used to provide a robust platform for successful fistula creation in this population.


1997 ◽  
Vol 58 (5) ◽  
pp. 1135-1140
Author(s):  
Koji NAMEKATA ◽  
Masahiko TAKEI ◽  
Toyohito IWATA ◽  
Noriko FUJIWARA ◽  
Shigeru TAKAMORI ◽  
...  

2014 ◽  
Vol 19 (3) ◽  
pp. 143-144
Author(s):  
Unal Mutlu ◽  
Ninos Ayez ◽  
Bram Fioole ◽  
George P. Akkersdijk ◽  
Hans M. Boots ◽  
...  

Abstract A man aged 30 years with a brachiocephalic arteriovenous fistula in the left upper arm developed clinical complaints of a cold left hand due to a flow of 3,500 mL/min. A successful banding procedure was performed. Nineteen months later, a stenosis at the banding site resulted in reduced flow and insufficient dialysis. Several percutaneous transluminal angioplasty procedures with different diameters were performed. A satisfactory result was achieved using a 6-mm high-pressure balloon.


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