Salvage of a subacute failure in femoral dialysis loop graft using stent covering the arterial and venous anastomosis

Abstract

Endovascular treatment can be considered the first line therapy in the majority of dysfunctioning arteriovenous fistula. However, when early thrombosis of the arteriovenous access occurs, surgical treatment is recommended. In these cases, technical problems are the most frequent cause of the malfunction. We report a case of a subacute thrombosis of an arteriovenous fistula, femoral artery to femoral vein looped ePTFE with venous anastomosis occlusion and subocclusion lesion at the arterial anastomosis. Both anastomoses were treated using self-expandable stents, and no other intervention was necessary until the one-year follow-up for maintain patency.

Key words::

• Arteriovenous fistula dysfunction
• stent

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.