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

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...

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Autores principales: Kaller, Réka, Mureșan, Adrian Vasile, Arbănași, Emil Marian, Arbănași, Eliza Mihaela, Kovács, István, Horváth, Emőke, Suciu, Bogdan Andrei, Hosu, Ioan, Russu, Eliza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025436/
https://www.ncbi.nlm.nih.gov/pubmed/35455020
http://dx.doi.org/10.3390/life12040529
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author Kaller, Réka
Mureșan, Adrian Vasile
Arbănași, Emil Marian
Arbănași, Eliza Mihaela
Kovács, István
Horváth, Emőke
Suciu, Bogdan Andrei
Hosu, Ioan
Russu, Eliza
author_facet Kaller, Réka
Mureșan, Adrian Vasile
Arbănași, Emil Marian
Arbănași, Eliza Mihaela
Kovács, István
Horváth, Emőke
Suciu, Bogdan Andrei
Hosu, Ioan
Russu, Eliza
author_sort Kaller, Réka
collection PubMed
description 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.
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spelling pubmed-90254362022-04-23 Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure Kaller, Réka Mureșan, Adrian Vasile Arbănași, Emil Marian Arbănași, Eliza Mihaela Kovács, István Horváth, Emőke Suciu, Bogdan Andrei Hosu, Ioan Russu, Eliza Life (Basel) Case Report 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. MDPI 2022-04-03 /pmc/articles/PMC9025436/ /pubmed/35455020 http://dx.doi.org/10.3390/life12040529 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kaller, Réka
Mureșan, Adrian Vasile
Arbănași, Emil Marian
Arbănași, Eliza Mihaela
Kovács, István
Horváth, Emőke
Suciu, Bogdan Andrei
Hosu, Ioan
Russu, Eliza
Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure
title Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure
title_full Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure
title_fullStr Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure
title_full_unstemmed Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure
title_short Uncommon Surgical Management by AVF between the Great Saphenous Vein and Anterior Tibial Artery for Old Radiocephalic AVF Failure
title_sort uncommon surgical management by avf between the great saphenous vein and anterior tibial artery for old radiocephalic avf failure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025436/
https://www.ncbi.nlm.nih.gov/pubmed/35455020
http://dx.doi.org/10.3390/life12040529
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