Axillary pacemaker generator implantation and direct axillary vein puncture on the infected side for a pacemaker infection on the opposite side to an arteriovenous fistula in a dialysis patient

Vascular access is necessary for hemodialysis, and in some cases where it is difficult to establish an arteriovenous fistula or arteriovenous graft, a permanent hemodialysis catheter may be used. However, serious catheter-related complications, such as central vein stenosis or thrombosis, can occur. We herein present a case of complete brachiocephalic vein obstruction in a patient with lupus nephritis receiving hemodialysis using a tunneled hemodialysis catheter. A 64-year-old patient underwent maintenance hemodialysis while taking an anticoagulant, with a tunneled hemodialysis catheter in the right internal jugular vein, because of arteriovenous fistula failure when hemodialysis was introduced. However, the catheter was removed because of a catheter-related bloodstream infection. Following the administration of antibiotics, an arteriovenous graft was implanted between the brachial artery and axillary vein in the right arm. Surprisingly, arteriovenous graft failure and complete obstruction of the right brachiocephalic vein were observed 3 days after arteriovenous graft creation. In conclusion, we report the case of tunneled hemodialysis catheter-related complete obstruction of the right brachiocephalic vein in a lupus nephritis patient undergoing hemodialysis. Clinicians should be aware of this potential complication when tunneled hemodialysis catheters are used and consider the next vascular access type before a tunneled hemodialysis catheter has been indwelled for the long term.

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Spontaneous rupture of arteriovenous fistula in a chronic dialysis patient

Journal of Emergency Medicine ◽

10.1016/s0736-4679(02)00744-8 ◽

2003 ◽

Vol 24 (2) ◽

pp. 224-225 ◽

Cited By ~ 1

Author(s):

H.üseyin Çaksen ◽

Dursun Odabaş ◽

Şükrü Arslan ◽

Ali Kaya

Keyword(s):

Arteriovenous Fistula ◽

Spontaneous Rupture ◽

Dialysis Patient ◽

Chronic Dialysis ◽

Chronic Dialysis Patient

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Venous Hypertension Associated with Asymptomatic Bilateral Axillary Vein Thrombosis and Graft Arteriovenous Fistula A Case Report

Vascular Surgery ◽

10.1177/153857448501900413 ◽

1985 ◽

Vol 19 (4) ◽

pp. 270-273

Author(s):

Roland R. Purcell ◽

F. Guillermo Peña

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Venous Hypertension ◽

Axillary Vein ◽

Vein Thrombosis ◽

Axillary Vein Thrombosis

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AVA 3. Efficacy of Staged Brachial Artery-Basilic/Brachial Vein Elevation Arteriovenous Fistula (Axillary Vein Saved)

Journal of Vascular Surgery ◽

10.1016/j.jvs.2018.08.040 ◽

2018 ◽

Vol 68 (5) ◽

pp. e125

Author(s):

Min-seob Kim ◽

Sanghyun Ahn ◽

Hyejin Mo ◽

Ahram Han ◽

Chanjoong Choi ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Brachial Artery ◽

Axillary Vein ◽

Brachial Vein

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Brachial–brachial autogenous arteriovenous fistula in a dialysis patient with Staphylococcus aureus bacteremia

Journal of Artificial Organs ◽

10.1007/s10047-010-0485-0 ◽

2010 ◽

Vol 13 (1) ◽

pp. 51-53 ◽

Cited By ~ 2

Author(s):

Yuichi Sato ◽

Masahito Miyamoto ◽

Masahiko Yazawa ◽

Ryuto Nakazawa ◽

Hideo Sasaki ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Arteriovenous Fistula ◽

Dialysis Patient ◽

Staphylococcus Aureus Bacteremia

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Study of Arteriovenous Fistula Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4957 ◽

2020 ◽

Vol 58 (225) ◽

Author(s):

Robin Man Karmacharya ◽

Satish Vaidya ◽

Amit Kumar Singh ◽

Sushil Dahal ◽

Prasesh Dhakal ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Axillary Vein ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Arteriovenous Fistulas ◽

Common Location

Introduction: Arteriovenous fistulas are a preferred choice for hemodialysis access in chronickidney disease patients. There is increased adoption of arteriovenous fistula creation in Nepal.Our objective is to study various arteriovenous fistulas that have been created in our center. Methods: This is a descriptive cross-sectional study conducted in a tertiary care hospital includingall cases of arteriovenous fistula creation from January 2018 to December 2019. We obtained theethical clearance from the institutional review committee of Kathmandu University School ofMedical sciences. Convenient sampling method was used. Detailed vascular mapping and colordoppler ultrasonography was done in the bilateral upper limb as preoperative preparation and tochoose a site for arteriovenous fistula creation. Data were entered into the Statistical Package for theSocial Sciences version 20 for analysis. Results: Among 50 patients, the most common location was brachiobasilic 20 (40%) patients followedby brachiocephalic 18 (36%), radiocephalic 11 (22%), and arteriovenous graft between the brachialartery and axillary vein 1 (2%). The mean duration of hospital stay was 1.44 days. Three (6%) patientsrequired re-intervention, all within 24 hours. Two (4%) patients had a failure of arteriovenous fistularequiring the creation of a new arteriovenous fistula. Conclusions: Brachiobasilic was the most common location for arteriovenous fistula creation.Reintervention was not common.

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A patient with arteriovenous fistula of simultaneously performed anastoplasty for excessive blood flow and graft bypass to secure an outflow tract

The Journal of Vascular Access ◽

10.1177/1129729818763483 ◽

2018 ◽

Vol 20 (1_suppl) ◽

pp. 80-83

Author(s):

Kanyu Miyamoto ◽

Naoya Matsuoka ◽

Sumihisa Ono ◽

Shinya Nakamura ◽

Kohei Nagaya ◽

...

Keyword(s):

Blood Flow ◽

Blood Vessel ◽

Arteriovenous Fistula ◽

Dialysis Patient ◽

Effective Means ◽

Anastomotic Site ◽

Case Description ◽

Artificial Blood ◽

Artificial Blood Vessel ◽

Replacement Surgery

Introduction: We report a case in which we performed an anastomotic part septal formation surgery (anastoplasty) and artificial blood vessel replacement surgery. Case Description: When forearm arteriovenous fistula occlusion of a dialysis patient was observed, there was a thrombus in the vein of the whole forearm from the anastomotic part. We performed a septum formation surgery to suppress the blood flow in the vein near the anastomotic site, and artificial blood vessel replacement was performed on the high stenosis of the cephalic vein of the elbow. Postoperative blood flow was stable and hemodialysis was possible. Although there are various blood flow suppression methods for suppressing excessive blood flow, we report a case in which an anastomotic part septal formation surgery and artificial blood vessel replacement to secure an outflow passage were performed at the same time. Conclusion: Anastoplasty for excessive blood flow is considered to be an effective means in this case.

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