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Iatrogenic or congenital arteriovenous fistula of left upper arm used for hemodialysis after venous superficialization
Author(s) -
Kusztal Mariusz,
Letachowicz Krzysztof,
Gołębiowski Tomasz,
Wątorek Ewa,
Szyber Przemysław,
Garcarek Jerzy,
Weyde Wacław,
Klinger Marian
Publication year - 2015
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12191
Subject(s) - medicine , hemodialysis , arteriovenous fistula , surgery , hemodialysis access , concomitant , fistula , brachial artery , cephalic vein , vein , vascular access , blood pressure
The authors report a case of iatrogenic brachial arteriovenous fistula ( AVF ) on the left arm in a 20‐year‐old man with a history of autosomal dominant polycystic kidney and failing kidney transplant. An attempt to create vascular access for hemodialysis by utilization of an existing iatrogenic brachial AVF was undertaken. The patient underwent surgical superficialization of a concomitant enlarged and deeply located vein. Four weeks after the procedure, the AVF was successfully cannulated for hemodialysis. In this case, iatrogenic/congenital AVF was successfully converted to vascular access for hemodialysis.