Chronic dialysis fistula thrombosis treatment by means of endovascular recanalization with surgical exclusion of developed collateral circulation.
Fistula thrombosis is the most common and dangerous complication resulting in vascular access insufficiency. The most "tricky" lesion of dialysis fistula is chronic thrombosis which occurs when only a short section of efferent vein becomes clotted and collateral circulation enabling further, limited in time functioning of dialysis fistula is created. In 7 chronic thrombosis patients subjected to treatment by means of endovascular recanalization, developed collateral vessels were surgically ligated to obtain single-canal blood flow. The recanalization procedure involved making a puncture, inserting a guide wire and performing balloon angioplasty. Simultaneously, 2 or 3 collateral veins were incised and ligated. The result obtained in all the 7 cases was considered successful as all fistulas remained a 100% patent 6 months after the procedure.
1st Department of Surgery and Transplantology, Medical University of Lublin, Lublin, Poland.
Krzysztof
K
Janicki
Radosław
R
Pietura
Anna
A
Bojarska-Szmygin
Janusz
J
Gieryng
Anna
A
Orłowska
Lucyna
L
Janicka
D000800:Angioplasty, Balloon / Q000379:methods*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002908:Chronic Disease; D003097:Collateral Circulation; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D006435:Renal Dialysis; D015607:Stents; D013927:Thrombosis / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome