scholarly journals Endovascular Treatment for a Femoral Arteriovenous Fistula after Removal of a Hemodialysis Catheter

Author(s):  
Lam Thao Cuong ◽  
Ho Tat Bang ◽  
Nguyen Duy Tan

Double-lumen catheters are commonly utilized to acquire temporary access for hemodialysis in patients suffering from acute renal failure. There are many complications related to catheter puncture. An arteriovenous fistula (AVF) is rare but occasionally fatal. This case report presents a female patient, 49 years old with a post-catheterization AVF between the femoral common artery and femoral vein, which was successfully treated with a peripheral cover stent placement. A four-week clinical follow-up showed the patient’s condition had significantly improved.

Lupus ◽  
2016 ◽  
Vol 26 (7) ◽  
pp. 777-782 ◽  
Author(s):  
X-J Zhou ◽  
M Chen ◽  
S-X Wang ◽  
F-D Zhou ◽  
M-H Zhao

Background Microvascular manifestations of antiphospholipid antibody syndrome in the kidneys include acute renal failure, thrombotic microangiopathy and hypertension. Therapy has been largely empiric. Case report A 49-year-old Chinese man presented with anuric acute renal failure without abundant proteinuria and heavy haematuria, but markedly low levels of urinary sodium, potassium and chlorine upon admission. On day 1 of hospitalization, his thrombocytopenia, anaemia and renal failure showed rapid progression. The presence of lupus anticoagulant and vascular ischaemia of the small vessels in renal arteriography were also observed. Anticoagulants, continuous renal replacement therapy, glucocorticoids and six sessions of plasma exchange were started. After the fourth plasma exchange (on day 20), his urine output increased and began to normalize. On day 25, haemodialysis was stopped and his general condition gradually improved. A renal biopsy was subsequently performed, and the histopathological diagnosis was thrombotic microangiopathy due to antiphospholipid antibody syndrome. A further 3-year follow-up showed that his haemoglobin level, platelet count and serum creatinine were within the normal range, with stable blood pressure. Conclusion Treatment modalities such as anticoagulation, immunosuppression and plasma exchange are likely to be necessary when severe acute renal failure combined with thrombotic microangiopathy present in nephropathy of antiphospholipid antibody syndrome.


1991 ◽  
Vol 14 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Howard H. Mizrachi ◽  
Igor D. Gregoric ◽  
Michael J. H. M. Jacobs ◽  
George J. Reul

1991 ◽  
Vol 14 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Igor D. Gregoric ◽  
Michael J.H.M. Jacobs ◽  
George J. Reul ◽  
Donald G. Rochelle

2005 ◽  
Vol 52 (2) ◽  
pp. 107
Author(s):  
Jeong Yeol Choi ◽  
Dong Hyun Kim ◽  
Hyung Woo Oh ◽  
Jeong Hwan Jang ◽  
Jae Hee Oh ◽  
...  

Heart ◽  
2012 ◽  
Vol 98 (Suppl 2) ◽  
pp. E267-E268
Author(s):  
Zheng Ziyu ◽  
Ye Zi ◽  
Ye Jialin ◽  
Wang Weiping ◽  
Zhan Hong

1989 ◽  
Vol 35 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Helen N. Georgaki-Angelaki ◽  
David B. Steed ◽  
Cyril Chantler ◽  
George B. Haycock

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