title: Percutaneous vein graft reanastomosis with use of a covered stent to salvage a thrombosed hemodialysis graft.
abstract: Technical success rates for percutaneous restoration of thrombosed arteriovenous grafts are high. However, in thrombosed grafts without restorable original outflow veins, percutaneous salvage is usually not possible. In this situation, patients are referred for bypass grafting or recreation of their vascular access sites. This report describes a patient in whom the original outflow vein at the venous anastomosis was completely obliterated and in whom vascular access was successfully salvaged by percutaneously reanastomosing the venous stump of the thrombosed graft with an adjacent patent vein. This procedure is technically feasible for the salvage of a thrombosed graft.
authors.affiliation: Department of Medical Imaging, Kaohsiung Medical University, Chung-Ho Memorial Hospital, Taiwan.
authors.forename: Matt Chiung-Yu
authors.initials: MC
authors.lastname: Chen
authors.forename: Huei-Lung
authors.initials: HL
authors.lastname: Liang
authors.forename: Ding-Kwo
authors.initials: DK
authors.lastname: Wu
authors.forename: Mei-Jui
authors.initials: MJ
authors.lastname: Weng
authors.forename: Gin-Chung
authors.initials: GC
authors.lastname: Liu
authors.forename: Huay-Ben
authors.initials: HB
authors.lastname: Pan
authors.forename: Guey-Lan
authors.initials: GL
authors.lastname: Lee
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D006435:Renal Dialysis; D012086:Reoperation; D015607:Stents; D018084:Ultrasonography, Interventional
chemical_list: D020099:Coated Materials, Biocompatible