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Case Reports
. 2023 Feb 8;9(3):101118.
doi: 10.1016/j.jvscit.2023.101118. eCollection 2023 Sep.

Potential prosthetic arterio-venous graft dissection: A rare case

Rahi Karmarkar  1 , Abbas Ghazanfar  2
Affiliations
Case Reports

Potential prosthetic arterio-venous graft dissection: A rare case

Rahi Karmarkar et al. J Vasc Surg Cases Innov Tech. .

Abstract

Arterio-venous fistulas (AVFs) are recommended as the first line vascular access option in patients requiring hemodialysis in end-stage renal disease (ESRD). Prosthetic grafts have been used successfully as an alternative in cases where AVF is not feasible. We present a rare case of dissection of the prosthetic graft. Knowledge and recognition of this complication is important in making correct diagnosis and deciding appropriate treatment.

Keywords: AV fistula; Arterio-venous fistula; End stage renal disease; Prosthetic grafts; Vascular access.

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Figures

Fig 1
Fig 1
a, Normal caliber graft (duplex ultrasound [dUS]); b, Stenosis of graft at site of needling (dUS).
Fig 2
Fig 2
a & b, Thrombosed graft.
Fig 3
Fig 3
Fistulogram and fistuloplasty.
Fig 4
Fig 4
Peri-operative finding of graft dissection.
Fig 5
Fig 5
Possible dissection of graft (duplex ultrasound [dUS]).
See this image and copyright information in PMC

References

    1. Sahasrabudhe P., Bindu A. Nuances of arteriovenous fistula creation for vascular access in hemodialysis. Indian J Plast Surg. 2021;54:257–263. - PMC - PubMed
    1. Stegmayr B., Willems C., Groth T., Martins A., Neves N.M., Mottaghy K., et al. Arteriovenous access in hemodialysis: a multidisciplinary perspective for future solutions. The Int J Artif Organs. 2021;44:3–16. - PMC - PubMed
    1. Akoh J.A. Prosthetic arteriovenous grafts for hemodialysis. J Vasc Access. 2009;10:137–147. - PubMed

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