Conversion of Arterio-Venous Access of Hemodialysis to Arterio-Arterial Access for Treatment of Venous hypertension with Central Venous Occlusion

Author(s):  
Tamer Khafagy ◽  
Mohamed S. Abdelgawad ◽  
Ahmed Eleshra ◽  
Samer Regal ◽  
Ehab Saad
2021 ◽  
Vol 4 (1) ◽  
pp. 81-83
Author(s):  
Sharath Kumar Goddu Govindappa ◽  
Lakshminarayanapuram Gopal Viswanathan ◽  
Shashidhar Kallappa Parameshwarappa ◽  
Naveen Nayak ◽  
Sujit Kumar ◽  
...  

Intracerebral hemorrhage is a devastating form of stroke and is more common in patients with hypertension and renal disease. We present the case of a lady suffering from chronic kidney disease who presented with severe headache and aphasia. On evaluation, she was found to have an intraparenchymal hemorrhage in the left temporal lobe with prominent pial and dural veins suggestive of a dural arteriovenous fistula (DAVF). Subsequently, she was detected to have occlusion of the left brachiocephalic vein (LBCV), which resulted in venous hypertension and resulted in this rare complication. Angioplasty followed by stenting of the LBCV resulted in subsidence of her symptoms. We wish to highlight this unusual but treatable complication of limb AV fistula which can mimic intracranial DAVF.


2020 ◽  
Vol 21 (5) ◽  
pp. 778-782
Author(s):  
Tarik R Baetens ◽  
Joris I Rotmans ◽  
Rutger W van der Meer ◽  
Carla SP van Rijswijk

Exhausted central venous access is a potentially life-threatening situation for patients dependent on haemodialysis. If standard guidewire recanalisation fails, unconventional venous access or central venous needle recanalisation can be considered but are often associated with higher rates of complications and/or dysfunction. Here, we report about two patients treated successfully with the Surfacer® Inside-Out® Access Catheter System (Bluegrass Vascular Technologies, San Antonio, TX, USA) to achieve transmediastinal central venous access.


2019 ◽  
Vol 7 (5) ◽  
pp. 660-664 ◽  
Author(s):  
Jeffrey B. Edwards ◽  
James D. Brooks ◽  
Mathew D. Wooster ◽  
Blake Fernandez ◽  
Kelli Summers ◽  
...  

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