A 50-year-old woman was referred with acute thrombosis of a brachio-basilic haemodialysis fistula, located in the right upper arm. The access had been created 5 years previously and several percutaneous transluminal angioplasties (PTA) had been performed, the last one performed 3 months previously. The patient had a renal transplantation 15 days ago. The fistula had been thrombosed for the last...

Sir, In the literature, the treatment of an arterial steal syndrome in patients with dialysis fistula has been described to mainly concentrate on decreased or abolished blood flow through the arteriovenous shunt, or bypassing the fistula w1–4x. An important cause of the steal phenomenon in a limb distal to a dialysis fistula is, however, distal artery occlusive disease, reducing limb perfusion ...

PURPOSE To evaluate the safety and efficacy of arteriovenous fistula (AVF) creation with a thermal resistance anastomosis device (TRAD). MATERIALS AND METHODS From January 2014 to March 2015, 26 patients underwent ultrasound (US)-guided percutaneous creation of proximal radial artery-to-perforating vein AVFs with a TRAD that uses heat and pressure to create a fused anastomosis. Primary endpoi...

Venodilation following anesthesia for arteriovenous fistula (AVF) creation may alter a preoperative surgical plan based upon elective vein mapping. This study evaluates the effect of changed plans on AVF maturation and functional patency. All outpatient AVFs constructed in 2016 to 2019 were retrospectively reviewed. patients had ultrasound by surgeon intraoperatively. Patients excluded if there...

BACKGROUND Studies have shown that vein size is an important predictor of successful ultrasound-guided vascular access. The objective of this study is to evaluate maneuvers designed to increase basilic vein size, which could be used to facilitate ultrasound-guided peripheral intravenous access (USGPIV) in the Emergency Department (ED) setting. METHODS This was a prospective non-randomized tri...

BACKGROUND Our objective is to provide provision of primary and secondary patency rates data and incidence of complications. Despite the publication of some review articles and small prospective trials about vascular accesses, controversy still exists regarding the choice of the outflow conduit and especially the choice of the fistula to be formed in secondary and tertiary access procedures. ...