scholarly journals Angiosarcoma Developing in an Arteriovenous Fistula after Kidney Transplantation

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Bruna Natacha Leite Costa ◽  
Constantino Fernández Rivera ◽  
Maria Calvo Rodríguez ◽  
Teresa Hermida Romero ◽  
Andrés López Muñiz ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Arteriovenous Fistula ◽  
Graft Rejection ◽  
Rare Case ◽  
Previous History ◽  
Prevention And Treatment ◽  
Tumor Prevention

After transplantation, the main concerns involve immunosuppression, the prevention and treatment of infections and graft rejection, and tumor prevention. Sometimes the complications that may appear in the arteriovenous fistula are neglected following kidney transplantation. This is the reason why we are presenting the case of an angiosarcoma developing in an arteriovenous fistula after kidney transplantation. It is a very rare case and our goal is to create an alarm so that after kidney transplantation clinicians do not lose sight of the patients’ previous history.

Outcomes of radiocephalic arteriovenous fistula in octogenarians

2021 ◽  
pp. 112972982110154
Author(s):  
Raffaella Mauro ◽  
Alessia Pini ◽  
Rodolfo Pini ◽  
Mohammad Abualhin ◽  
Chiara Mascoli ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Previous History ◽  
Venous Catheter ◽  
Dialysis Session ◽  
Old Patients ◽  
Younger Patients ◽  
First Choice ◽  
Clinical Surveillance ◽  
History Of ◽  
The Impact

Background: Current guidelines recommend radiocephalic arteriovenous fistula (RCAVF) as a first choice access for hemodialysis, without specific indication for octogenarians .This study was undertaken to assess the efficacy of RCAVF in octogenarians compared with younger patients. Material and methods: All patients treated by RCAVF from January 2013 to December 2017 were included in a prospective database for a retrospective analysis. Patient demographics, comorbidities, and dialytic treatment data were collected prospectively and compared in patients <80 year-old and ⩾80 years-old. Clinical surveillance was performed during each dialysis session. The main endpoints were primary (PP) and assisted patency (AP). Results: Within the study period, a total of 294 RCAVF were analyzed: 245 (83.3%) RCAVF were performed in <80 year-old and 49 (16.7%) ⩾80 years old. The overall PP and AP at 2-year was 69% ± 2% and 73% ± 3%, respectively. Patients ⩾ 80 years-old had a significantly reduced 2-year PP, AP of RCAVF compared with the younger patients: 50% ± 8% and 62% ± 7% versus 73% ± 3% and 75% ± 3%, p = 0.01 and p = 0.03, respectively. The analysis for possible risk factors for reduction of PP in patients ⩾80 years identified in the central venous catheter(CVC) a predictor of earlier RCAVF failure: HR 3.03(95% CI 1.29–7.13), p = 0.01.Kaplan–Meier curve confirms the reduction of PP in ⩾80 years old patients at 2-year follow-up with previous CVC compared patients without history of CVC: 59% ± 10% versus 24% ± 11%, p = 0.01. A comparison between the two groups was made in order to evaluate the impact of previous history of CVC .In absence of a history of CVC use older patients had a similar 2-year PP compared with younger patients: 59% ± 10% versus 72% ± 4%, p = 0.46. Otherwise, the history of a previous CVC reduced significantly the 2-year PP in ⩾80 years old patients compared the younger: 24% ± 12% versus 75% ± 5%, p = 0.0001. Conclusions: Despite lower overall primary and primary assisted patency, RCAVF are associated with satisfactory results also in octogenarians if performed in absence of history of CVC. Under these circumstances RCAVF can be considered a first choice treatment.

A rare case of high-grade chondroblastic osteosarcoma post-radiotherapy for a right frontal oligodendroglioma

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Sinead Horan ◽  
◽  
Oscar Breathnach ◽  
Liam Grogan ◽  
David Fitzpatrick ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Brain Tumour ◽  
Radiation Field ◽  
Rare Case ◽  
Previous History ◽  
High Grade ◽  
History Of ◽  
Rare Malignancy ◽  
Chondroblastic Osteosarcoma

This is the fourteenth case of an intracranial and dural-based osteosarcoma in the literature to date. The case involves a forty-year old woman with a previous history of a brain tumour, which was treated with surgery, chemotherapy and radiotherapy six years previously. The hypothesis is that this rare malignancy is secondary to the radiation exposure given the growth of the lesion in the previous radiation field

scholarly journals Spinal intraosseous epidural arteriovenous fistula with perimedullary drainage obliterated with Onyx embolization: case report

2015 ◽  
Vol 23 (2) ◽  
pp. 250-253 ◽  
Author(s):  
Chang-Hsien Ou ◽  
Hao-Kuang Wang ◽  
Tzu-Hsien Yang ◽  
Cheng-Loong Liang ◽  
Ho-Fai Wong
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Rare Case ◽  
Direct Evidence ◽  
Embolic Agent ◽  
Imaging Studies ◽  
Disease Evolution ◽  
Compressive Fracture ◽  
Rare Location ◽  
Vein Reflux

The authors report an extremely rare case of spinal intraosseous epidural arteriovenous fistula (AVF) with perimedullary vein reflux causing symptoms of myelopathy. The intraosseous fistula tracts were completely obliterated with Onyx embolic agent, resulting in a total resolution of symptoms. The unique features of this case include the rare location of the fistula in the vertebral body and the association of the fistula with a compressive fracture. Imaging studies confirmed these hemodynamic findings and provided clarity and direct evidence regarding the association of epidural AVF formation with the vertebral compressive fracture. The authors also propose a possible disease evolution based on the previously adduced reflux-impending mechanism.

scholarly journals Skin Necrosis Associated with Thromboprophylaxis after Total Knee Replacement

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
S. V. Karuppiah ◽  
A. J. Johnstone
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Skin Necrosis ◽  
Low Molecular Weight Heparin ◽  
Rare Case ◽  
Low Molecular Weight ◽  
Clinical Use ◽  
Unfractioned Heparin ◽  
Prevention And Treatment ◽  
Total Knee

Thromboprophylaxis are routinely given to prevent venous thromboembolism (VTE) in patients after total hip and knee replacement surgeries. Low molecular weight heparin (LMWH) (fractioned heparin) is effective in the prevention and treatment of VTE. The predicable effect of LMWH has popularized it for routine clinical use. Although LMWH has lesser complication rate, compared to unfractioned heparin (UFH), sporadic clinical complication has been reported. We report a rare case of skin necrosis secondary to use of LMWH tinzaparin used for routine thromboprophylaxis after total knee replacement.

scholarly journals MP717THE INFLUENCE OF FUNCTIONING ARTERIOVENOUS FISTULA IN CARDIAC FUNCTION IN PATIENTS WITH KIDNEY TRANSPLANTATION

2016 ◽  
Vol 31 (suppl_1) ◽  
pp. i577-i578
Author(s):  
Evangelos Papachristou ◽  
Theodoros Ntrinias ◽  
Marios Papasotiriou ◽  
Panagiotis Trigkas ◽  
Nikolaos Koutsogiannis ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Cardiac Function ◽  
Arteriovenous Fistula
Sign in / Sign up

Export Citation Format

Share Document