Delayed Maturation of Arteriovenous Fistula due to Radial Artery Obstruction in a Patient Receiving Radiocephalic Arteriovenous Fistula.
- Author:
Soo Seong OH
1
;
Young Ok KIM
;
Eun Sook KIM
;
Eun Chul JANG
;
Guil Sun KIM
;
Yoo Dong WEON
;
Young Soo KIM
;
Sun Ae YOON
;
Yoon Sik CHANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Radial artery obstruction;
Arteriovenous fistula;
Hemodialysis
- MeSH:
Arteriovenous Fistula*;
Brachial Artery;
Constriction, Pathologic;
Female;
Humans;
Incidence;
Middle Aged;
Radial Artery*;
Renal Dialysis;
Veins;
Wrist
- From:Korean Journal of Nephrology
2005;24(6):1023-1026
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although radiocephalic arteriovenous fistula (AVF) is the method of choice for hemodialysis (HD) vascular access, it continues to have a high incidence of early failure due to delayed or failed venous maturation. Here we report an unusual case of delayed maturation of AVF due to radial artery obstruction in a patient receiving radiocephalic AVF. A 53-year-old woman had received radiocephalic AVF operation for hemodialysis. Venous maturation of the AVF did not occur 2 months after the operation. Fistulography via brachial artery approach demonstrated non- visualization of radial artery, anastomosis of radial side of palmar arch and cephalic vein and mild stenosis of the anastomosis site at left wrist area. We thought that we could not use the AVF for HD due to inadequate arterial blood flow and decided to make new vascular access. The patient received brachial-basilic AVF operation again. Adequate maturation of the AVF was successfully made 1 month after the operation. Therefore, we think that radial artery obstruction may be a possible cause of delayed maturation of AVF.
