title: Arteriovenous fistula salvage utilizing a hybrid vascular graft.
abstract: BACKGROUND
  Loss of arteriovenous fistula as access for hemodialysis leads to significant morbidity and increased mortality risk.
  
  
  METHODS
  Maintenance of this access is of paramount importance and we describe a case of a patient with a functioning radiocephalic fistula with associated arm swelling due to poor narrow caliber venous drainage above the elbow but with normal central veins.
  
  
  RESULTS
  A hybrid vascular graft was anastomosed to the upper extent of the fistula and the nitonol stent section introduced into the patent axillary vein.
  
  
  CONCLUSIONS
  The described method led to resolution of symptoms and arm swelling. The described method allowed the continued use of a mature fistula.
authors.affiliation: 1 Department of Interventional Radiology, Queen Elizabeth Hospital Birmingham, Birmingham - UK.
authors.forename: Robert G
authors.initials: RG
authors.lastname: Jones
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Inston
authors.forename: Timothy
authors.initials: T
authors.lastname: Brown
mesh_terms: D000368:Aged; D000497:Alloys; D015901:Angiography, Digital Subtraction; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D004487:Edema / Q000209:etiology / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D011474:Prosthesis Design; D006435:Renal Dialysis; D012086:Reoperation; D016879:Salvage Therapy; D015607:Stents; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014654:Vascular Patency
chemical_list: D000497:Alloys; C013616:nitinol