title: Long-term preservation of native arteriovenous dialysis fistulas.
abstract: Preservation of native arteriovenous fistulas (AVFs) in the long term can be technically challenging. Various anatomic or functional problems can occur and multiple open and/or endovascular interventions may be required for extended preservation of native accesses. In this report, we review vascular access maintenance in a 72-year-old woman during a 5-year period. Multiple complications of her native radiocephalic AVF included recurrent occlusions, a central venous stent fracture and symptomatic venous outflow stenosis. We present this case to illustrate the various techniques and combination of approaches used in the long-term preservation of a native AVF.
authors.affiliation: Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France; Department of Surgery, University of Oklahoma, Tulsa, OK. Electronic address: alexandrosmallios@gmail.com.
authors.forename: Alexandros
authors.initials: A
authors.lastname: Mallios
authors.affiliation: Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Costanzo
authors.affiliation: Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Boura
authors.affiliation: Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France.
authors.forename: Myriam
authors.initials: M
authors.lastname: Combes
authors.affiliation: Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France.
authors.forename: Faris
authors.initials: F
authors.lastname: Alomran
authors.affiliation: Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France.
authors.forename: Romain
authors.initials: R
authors.lastname: de Blic
authors.affiliation: Department of Surgery, University of Oklahoma, Tulsa, OK.
authors.forename: William C
authors.initials: WC
authors.lastname: Jennings
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003251:Constriction, Pathologic; D005260:Female; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D010690:Phlebography / Q000379:methods; D011475:Prosthesis Failure; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012008:Recurrence; D006435:Renal Dialysis; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*