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An Alternative Approach to a Totally Occluded Subclavian Vein in a Malfunctioning Arteriovenous Fistula
Author(s) -
Packer Jeffrey
Publication year - 2007
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.2007.00298.x
Subject(s) - medicine , arteriovenous fistula , fistula , hemodialysis , hemodialysis access , surgery , dialysis , population , vein , subclavian vein , radiology , vascular access , catheter , environmental health
Endovascular therapy is useful in the treatment of a malfunctioning or nonmaturing arteriovenous (AV) fistula. When a standard trans‐access approach fails, alternative approaches can be attempted. A patient with a malfunctioning fistula is presented describing the use of a successful transjugular approach after an unsuccessful trans‐fistula attempt. The merits of this alternative method are discussed. An alternative means of treating a malfunctioning dialysis AV fistula may help increase the prevalence of AV fistulae in the hemodialysis population.