Chronically Occluded Arteriovenous Fistula Salvaged by Sharp Needle Recanalization.
Salvage of a failed arteriovenous access with occlusion of the venous outflow and no alternative for a secondary arteriovenous fistula that would provide for immediate dialysis is a difficult problem for which there is no ideal solution. The present report is such a patient. The patient had a radial-cephalic fistula represented by only a very short segment, inadequate for effective dialysis. Salvage was accomplished using the sharp needle revascularization technique in order to avoid a prolonged period of central venous catheter use.
Lifeline Vascular Access, Houston, Texas.
Gerald A
GA
Beathard
Lifeline Vascular Access, Houston, Texas.
Jilbert
J
Eradat
D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D016121:Brachiocephalic Veins; D004867:Equipment Design; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D006435:Renal Dialysis; D016879:Salvage Therapy / Q000379:methods*; D014654:Vascular Patency; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*