An alternative approach to a totally occluded subclavian vein in a malfunctioning arteriovenous fistula.
Endovascular therapy is useful in the treatment of a malfunctioning or nonmaturing arteriovenous (AV) fistula. When a standard trans-access approach fails, alternative approaches can be attempted. A patient with a malfunctioning fistula is presented describing the use of a successful transjugular approach after an unsuccessful trans-fistula attempt. The merits of this alternative method are discussed. An alternative means of treating a malfunctioning dialysis AV fistula may help increase the prevalence of AV fistulae in the hemodialysis population.
Packer
Jeffrey
J
Arizona Kidney Disease and Hypertension Center, Phoenix, Arizona 85012, USA. jpacker@akdhc.com
D000328:Adult; D000800:Angioplasty, Balloon / Q000379:methods*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D011859:Radiography; D006435:Renal Dialysis; D013350:Subclavian Vein