Loop arteriovenous graft of the chest wall as a viable option for dialysis.

Autor:	Hakim A; Neuroscience Department, University of Alabama at Birmingham, Birmingham, AL, USA., Abaza M; Department of Biology, University of Alaska, Anchorage, AK, USA., Almehmi SE; Department of Biology University of Alabama at Birmingham, Birmingham, AL, USA., McFarland G; Department of Vascular Surgery University of Alabama at Birmingham, Birmingham, AL, USA., Almehmi A; Department of Medicine and Radiology University of Alabama at Birmingham, Birmingham, AL, USA.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2022 Apr 25; Vol. 17 (6), pp. 2262-2264. Date of Electronic Publication: 2022 Apr 25 (Print Publication: 2022).
DOI:	10.1016/j.radcr.2022.03.098
Abstrakt:	The search for a reliable, complication-free vascular access is crucial among dialysis patients. The creation of a long-term access site for hemodialysis is dependent on several factors that mandate forming a life-plan for dialysis access, with upper extremity vascular access being the preferred route. However, complications including poor maturation, venous anastomosis lesions, and thrombosis are all associated with poor survival of these accesses. As a result, numerous patients within the dialysis population have exhausted access sites in the upper and lower extremities, requiring the search for other access options including chest wall arteriovenous graft (AVG). However, limited data is available about the outcomes of these chest wall grafts. Here, we describe two 62-year-old female dialysis patients who exhausted other dialysis access sites and subsequently underwent arteriovenous loop graft of the chest wall that connected the axillary artery with the ipsilateral axillary vein. These AVGs remained functional during the follow up period. This report highlights the viability of chest wall AVG access in the unique subset of hemodialysis patients who exhausted all other access sites. (© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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