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Case Reports
. 2019 May-Jun;29(3):211-213.
doi: 10.4103/ijn.IJN_135_18.

Stent Graft Placement for Treatment of Prosthetic Graft Outflow Stenosis, a Viable Long-term Solution: A Case Report

Pranay Pawar  1 , Achintya Sharma  1 , M K Ayyappan  1 , Kapil Mathur  1 , Jithin Jagan  1 , Radhakrishnan Raju  1
Affiliations
Case Reports

Stent Graft Placement for Treatment of Prosthetic Graft Outflow Stenosis, a Viable Long-term Solution: A Case Report

Pranay Pawar et al. Indian J Nephrol. 2019 May-Jun.

Abstract

Failing prosthetic grafts in patients undergoing hemodialysis is a common problem. Balloon angioplasty is the first line in treating these stenoses, but it is associated with poor patency rates due to recoil and subsequent restenosis. The use of stent graft implantation has shown very promising early and long-term results as per recent literature. We describe a case of arteriovenous graft outflow stenosis, which led to complete thrombosis of the graft, which was rescued by surgical thrombectomy and stent graft placement across the venous end of the anastomosis with good results.

Keywords: Arteriovenous grafts; hemodialysis; outflow stenosis; stent grafts.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Angiogram showing tight stenosis at the venous anastomosis end of the graft
Figure 2
Figure 2
Non-resolution of the stenosis after balloon angioplasty
Figure 3
Figure 3
Placement of a covered stent graft and its dilatation across the stenosis
Figure 4
Figure 4
Complete resolution of the outflow stenosis post deployment
See this image and copyright information in PMC

References

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