Proximal Neo – Anastamosis for a Case of Thrombosed Autogenous Brachiocephalic Fistula
- Author:
Lim ES
;
Chooi LK
;
Loh JW
;
Umasangar R
- Publication Type:Journal Article
- From:Journal of Surgical Academia
2012;2(2):1-1
- CountryMalaysia
- Language:English
-
Abstract:
The cost of maintaining autogenous arteriovenous fistula is less expensive than artificial access because of lower
surgical morbidity, mortality, incidence of infection and good patency rate. However when autogenous AVF was
occluded by thrombosis, the salvaging procedure for re-vascularisation did not show satisfactory results. The
National Kidney Foundation Dialysis Outcomes Quality Initiatives suggests that choosing the method of salvage
procedure depends on the ability of each institute. Here we present a 38year old man came with failure of left
brachio-cephalic fistula thrombosis due to cannulation site infection and thrombosis. Proximal neo vein to vein
anastomosis was performed. 3weeks post intervention, wound was well-healed and patient was able to continue
hemodialysis without venous hypertension in the forearm.
- Full text:W020151006401600745231.pdf
