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Successful Endovascular Treatment of a Hemodialysis Graft Pseudoaneurysm by Covered Stent and Direct Percutaneous Thrombin Injection
Author(s) -
Keeling Aoife N.,
Naughton Peter A.,
McGrath Frank P.,
Conlon Peter J.,
Lee Michael J.
Publication year - 2008
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.2008.00476.x
Subject(s) - medicine , pseudoaneurysm , hemodialysis , percutaneous , stent , hemodialysis access , arteriovenous fistula , surgery , occlusion , radiology , vascular access , aneurysm
Vascular access for hemodialysis remains a challenge for nephrologists, vascular surgeons, and interventional radiologists alike. Arteriovenous fistula and synthetic grafts remain the access of choice for long‐term hemodialysis; however, they are subject to complications from infection and repeated needle cannulation. Pseudoaneurysms are an increasingly recognized adverse event. At present, there are many minimally invasive methods to repair these wall defects. We present a graft pseudoaneurysm, which required a combination of endovascular stent graft placement and percutaneous thrombin injection for successful occlusion.