scholarly journals Use of a novel immediate access dialysis graft designed to prevent needle-related complications: A first-in-man case report

2020 ◽  
pp. 112972982091726
Author(s):  
Shawn M Gage ◽  
Karl A Illig ◽  
John R Ross
Keyword(s):  
Case Report ◽  
The Novel ◽  
Hemodialysis Access ◽  
Infection Resistance ◽  
Access Resistance ◽  
Dialysis Graft ◽  
Ease Of Access ◽  
Stage Renal Disease ◽  
End Stage ◽  
And Function

Currently, there is no vascular access that possesses all ideal qualities for hemodialysis access, but attributes particularly lacking include: ease of identification (cannulation zone), ease of access, resistance to stenosis, durable to repetitive cannulation, resistance to infection, resistance to acute needle-related injuries, and instant hemostasis. The overall value of these attributes could be appreciated in the reduction of complications (patient burden and suffering, which can also result in increased healthcare costs), and improved safety and durability. In this case report, we present a novel hemodialysis access graft that has the potential to provide the following benefits: it is designed to be self-sealing and immediately usable post implant, easy to identify, easy to access, has more durable cannulation zones, and protects from needle-related injuries. This case report describes the first-in-man use of this novel graft technology to replace a giant, thrombotic, and difficult-to-access arteriovenous fistula to provide the patient with a potentially safer and more durable access that does not require placement of a bridging dialysis catheter. This single-patient experience suggests that implantation and function of this novel graft as a hemodialysis access is feasible in a human subject with end-stage renal disease, and it suggests that the novel properties (i.e. immediate use, easy identification, easy use, cannulation zone durability, and protection from needle-related injuries) of this graft seem to function as intended.

End-stage renal disease in the course of urinary tract defects in Wolf–Hirschhorn syndrome – case report

2014 ◽  
Vol 1 (2) ◽  
pp. 229-236
Author(s):  
Katarzyna Jungiewicz ◽  
◽  
Irena Makulska ◽  
Anna Medyńska ◽  
Danuta Zwolińska ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Transperitoneal laparoscopic right radical nephrectomy for renal cell carcinoma and end-stage renal disease: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Christoforos Kosmıdis ◽  
Christoforos Efthimiadis ◽  
Georgios Anthimidis ◽  
Marios Grigoriou ◽  
Kalliopi Vasiliadou ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Renal Disease ◽  
Cell Carcinoma ◽  
End Stage Renal Disease ◽  
Renal Cell ◽  
Radical Nephrectomy ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Case Report: End stage renal disease in a chronic kidney patient on warfarin therapy

2015 ◽  
Vol 37 (2) ◽  
Author(s):  
Claudia Patricia Quiterio Bento ◽  
Maria Soares ◽  
Christine Molin ◽  
Luis Martins ◽  
Jonathan Martins ◽  
...  
Keyword(s):  
Case Report ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Warfarin Therapy ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Cardiac Arrest Secondary to Bilateral Pulmonary Emboli following Arteriovenous Fistula Thrombectomy: A Case Report with Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Avni Shah ◽  
Naheed Ansari ◽  
Zaher Hamadeh
Keyword(s):  
Cardiac Arrest ◽  
Arteriovenous Fistula ◽  
Pulmonary Emboli ◽  
Hemodialysis Access ◽  
Number Of Patients ◽  
Life Threatening ◽  
Timely Fashion ◽  
Pulmonary Embolization ◽  
Stage Renal Disease ◽  
End Stage

Number of patients with End Stage Renal Disease (ESRD) is growing worldwide. Hemodialysis remains the main modality of renal replacement therapy for ESRD patients. A patent hemodialysis access (arteriovenous fistula or arteriovenous graft) plays a key role in successful delivery of hemodialysis. Common vascular access issues encountered by patients and nephrologists are thrombosis and infection. The thrombosed access is declotted by various percutaneous techniques these days by multiple outpatient access centers in a timely fashion. Thrombolysis can give rise to various complications, a few of which can be life threatening. A young hemodialysis patient underwent percutaneous thrombolysis of his clotted arteriovenous fistula. Outpatient access thrombectomy was complicated immediately afterwards with cardiac arrest requiring cardiac resuscitation in the recovery room. The patient was admitted to intensive care unit after life sustaining care. Work up revealed multiple pulmonary emboli to both lung fields on CT scan of the chest. Patient was anticoagulated and discharged from the hospital. Thrombolysis of clotted hemodialysis access is associated commonly with occurrences of pulmonary embolic which are usually asymptomatic. Massive pulmonary embolization due to access thrombolysis is rare. Nephrologists and radiologists should be aware of this dangerous complication particularly in patients with preexisting cardiopulmonary disease.

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