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Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure

Authors :
Réka Kaller
Adrian Vasile Mureșan
Emil Marian Arbănași
Eliza Mihaela Arbănași
István Kovács
Emőke Horváth
Bogdan Andrei Suciu
Ioan Hosu
Eliza Russu
Source :
Life, Vol 12, Iss 4, p 529 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

Introduction: Autologous native arteriovenous fistula (AVF) created in the non-dominant arm is the gold standard vascular access for dialysis in end-stage renal disease, but the post-surgical vascular access dysfunction causes a reduction in the patient’s quality of life. Creating a functional upper extremity permanent arteriovenous access is limited by the upper limb’s vascular resources, so good management of a complicated arteriovenous fistula may improve patient outcomes. This article highlights the importance of new surgical options in treating complicated AVFs. Case report: We present the case of a patient with a 17-year-old complex radio-cephalic arterio-venous fistula and a series of surgical interventions performed for life salvage in the first place and functional vascular access in the second place. Furthermore, we describe a successfully created uncommon type of fistula in the lower extremity between the great saphenous vein and the anterior tibial artery as the last possible access for hemodialysis in this patient. Results: The patient underwent the first successful dialysis using the newly created lower limb fistula 1 month after the surgery. Conclusion: Applying new surgical techniques to manage AVFs gives a unique chance to improve the quality of life and reduce morbidity and mortality in these patients.

Details

Language :
English
ISSN :
20751729
Volume :
12
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Life
Publication Type :
Academic Journal
Accession number :
edsdoj.771e209fcbb45dfb10639f6ed62c3a5
Document Type :
article
Full Text :
https://doi.org/10.3390/life12040529