Hemodialysis graft with blind loop inflow segment treated with stent placement.
We report a case of occlusion of a graft related to residual thrombus collection at the inflow in a blind pouch formed by conversion of a previous brachial cephalic fistula to a graft. The thrombus was unable to be dislodged by conventional methods with the use of a Fogarty balloon and maceration of thrombus with angioplasty. A covered stent was placed at the inflow segment over this thrombus in order to restore the flow through the graft. Angiographic evidence for this case is also reported.
Wusirika
Raghav
R
Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, Michigan.
Leavitt
Matthew
M
Boyer
Charles
C
Wilson
Tamara J
TJ
Gorrell
Vickie L
VL
Segal
Jonathan
J
Weitzel
William F
WF
D000368:Aged; D000800:Angioplasty, Balloon; D001164:Arteriovenous Fistula / Q000473:pathology; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001367:Axillary Vein / Q000601:surgery; D001916:Brachial Artery / Q000601:surgery; D005260:Female; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000473:pathology / Q000628:therapy*; D006435:Renal Dialysis; D015607:Stents; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*