Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Dec 19:25:237.
doi: 10.11604/pamj.2016.25.237.10665. eCollection 2016.

[Exhaustion of vascular capital in patients on hemodialysis: what will be the outcome?]

[Article in French]
Meriam Hajji  1 , Amel Harzallah  1 , Hayet Kaaroud  1 , Mona Jerbi  1 , Soumaya Chargui  1 , Fethi El Younsi  1 , Fethi Ben Hamida  2 , Taieb Ben Abdallah  1
Affiliations
Case Reports

[Exhaustion of vascular capital in patients on hemodialysis: what will be the outcome?]

[Article in French]
Meriam Hajji et al. Pan Afr Med J. .

Abstract
in English, French

Despite advances in the treatment of chronic renal failure, vascular access remains the weakest link in renal replacement therapy (RRT) and the leading cause of morbidity in patients on hemodialysis We report the case of a young female patient with chronic renal insufficiency secondary to vascular nephropathy on periodic hemodialysis and whose vascular capital was early exhausted due to iterative thromboses in arteriovenous fistulas and failure in peritoneal dialysis. Protein C deficiency was objectified. The patient underwent tunneled hemodialysis catheter insertion at the level of the right atrium via a right anterolateral thoracotomy with cannulation of the inferior vena cava, with poor functional outcome after three months of use. Since then she has been dialyzed using puncture of the external jugular veins.

Malgré les progrès réalisés dans le traitement de l’insuffisance rénale chronique, l’accès vasculaire reste le maillon faible dans la thérapie de suppléance extrarénale et la principale source de morbidité chez les patients hémodialysés. Nous rapportons l’observation d’une jeune patiente ayant une insuffisance rénale chronique secondaire à une néphropathie vasculaire en hémodialyse périodique, confrontée précocement à un épuisement de son capital vasculaire, en raison de thromboses itératives des fistules artério-veineuses et l’échec de la dialyse péritonéale. Un déficit en protéine C a été objectivé. Elle a bénéficié de la mise en place d’un cathéter tunnelisé au niveau de l’oreillette droite par thoracotomie antéro-latérale droite à travers la veine cave inférieure non fonctionnel au bout de trois mois de son utilisation. Elle est depuis dialysée par ponction des veines jugulaires externes.

Keywords: Hemodialysis; thrombosis; vascular access.

PubMed Disclaimer

Conflict of interest statement

Les auteurs ne déclarent aucun conflit d'interêt.

Figures

Figure 1
Figure 1
Thromboses veineuses du membre supérieur
Figure 2
Figure 2
Thrombose de la veine cave supérieure
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Pisoni RL, Young EW, Dykstra DM, et al. Vascular access use in Europe and the United States: Results from the DOPPS. Kidney Int. 2002 Jan;61(1):305–16. - PubMed
    1. Sidawy A, Spergel LM, Besarab A, Allon M, Jennings WC, Padberg FT, Jr, et al. The society for vascular surgery: clinical guidelines for the placement and maintenance of arteriovenous hemodialysis access. J Vasc Surg. 2008;48(5 Suppl):2S–25S. - PubMed
    1. Son HJ, Min SK, Min S, Park YJ, Ha J, Kim SJ. Evaluation of the efficacy of the forearm basilic vein transposition arteriovenous fistula. J Vasc Surg. 2010;51(3):668–672. - PubMed
    1. Patrick Stone A, Albeir Mousa Y, John Campbell E, Ali Abu Rahma F. Dialysis Access. Annals of Vascular Surgery. 2012 Jul;26(5):747–753. - PubMed
    1. Jiber Hamid, Zrihni Youssef, Zaghloul Rachid, Hajji Rita, Zizi Othman, Bouarhroum Abdellatif. Management of complications of arteriovenous fistulas for chronic hemodialysis. Pan Afr Med J. 2015;20:202. - PMC - PubMed

Publication types