Salvage of a severely dysfunctional arteriovenous fistula with a strictured and occluded outflow tract.

Semin Dial

Division of Nephrology, Department of Internal Medicine, Baylor College of Medicine, Houston, Texas 77054, USA.

Published: November 2005

AI Article Synopsis

  • Arteriovenous fistulas (AVFs) are essential for hemodialysis but often fail due to vascular issues.
  • Endovascular therapies, particularly balloon angioplasty, are increasingly used to address AVF dysfunction caused by vascular stenosis, but their application is not yet widespread.
  • This case report details a patient with a severely dysfunctional AVF, illustrating how aggressive endovascular treatment successfully restored its function and offers insights for healthcare professionals managing dialysis access.

Article Abstract

Arteriovenous fistulas (AVFs) created for the purpose of hemodialysis are frequently lost due to various vascular lesions. Endovascular therapies with percutaneous transluminal balloon angioplasty have become very valuable in treating AVF dysfunction due to vascular stenosis. Experience with these therapies is relatively limited. In this case report, we present a patient with a severely dysfunctional AVF. The vascular lesions affecting his AVF were numerous and severe. We show how the application of aggressive endovascular treatment succeeded in restoring use of his AVF. Throughout the discussion we share observations and personal experiences that may be useful for interventionalists and health care practitioners involved with the maintenance, use, and treatment of dialysis vascular accesses.

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Source
http://dx.doi.org/10.1111/j.1525-139X.2005.18409.xDOI Listing

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