Scalp Edema and Insufficient Maturation of Arteriovenous Fistula Due to Cephalic Vein Variation in Patient with End Stage Renal Disease.
- Author:
Seong Ha CHEON
1
;
Yong Seong SEO
;
Ea Wha KANG
;
Suk Kyun SHIN
;
Shin Wook KANG
;
Kyu Hun CHOI
;
Ho Yung LEE
;
Dae Suk HAN
;
Beom Seok KIM
Author Information
1. Division of Nephrology, Department of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease, Seoul, Korea. docbsk@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Cephalic vein variation;
Arterio-venous fistula;
Insufficient AVF maturation
- MeSH:
Adult;
Arteriovenous Fistula*;
Constriction, Pathologic;
Edema*;
Female;
Humans;
Kidney Failure, Chronic*;
Quality of Life;
Renal Dialysis;
Renal Replacement Therapy;
Scalp*;
Veins*
- From:Korean Journal of Nephrology
2006;25(3):503-506
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Vascular access is the prerequisite and mainstay of extra-corporeal renal replacement therapy and its management is central to maintain the health and quality of life of end-stage renal disease (ESRD) patients. Success of maturation of AVF depends on the quality and size of the vessels and anatomic structure. There have been several reports on non-maturation by vascular stenosis or small vascular size after AVF procedure, but reports demonstrating that AVF non-maturation is due to by latent vessel variation are uncommon. We report a rare case of scalp edema and insufficient maturation of AVF due to cephalic vein variation in a 27 year-old female patient with ESRD on hemodialysis. Conclusively, meticulous observation on not only vessels used for AVF but also its proximal connection to other vessels should be considered.
