Salvage of a subacute failure in femoral dialysis loop graft using stent covering the arterial and venous anastomosis.
Endovascular treatment can be considered the first line therapy in the majority of dysfunctioning arteriovenous fistula. However, when early thrombosis of the arteriovenous access occurs, surgical treatment is recommended. In these cases, technical problems are the most frequent cause of the malfunction. We report a case of a subacute thrombosis of an arteriovenous fistula, femoral artery to femoral vein looped ePTFE with venous anastomosis occlusion and subocclusion lesion at the arterial anastomosis. Both anastomoses were treated using self-expandable stents, and no other intervention was necessary until the one-year follow-up for maintain patency.
Department of Endovascular Therapy, Hospital Hospiten, Santa Cruz de Tenerife, Spain. jmrabellino@hotmail.com
M
M
Rabellino
L
L
Garcia-Nielsen
S
S
Baldi
T
T
Zander
O
O
Blasco
M
M
Maynar
D000368:Aged; D000792:Angiography; D015906:Angioplasty, Balloon, Coronary; D001164:Arteriovenous Fistula / Q000628:therapy*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000379:methods; D005268:Femoral Vein; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects*; D017211:Treatment Failure; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods