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CASE REPORT
Year : 2022  |  Volume : 5  |  Issue : 2  |  Page : 48-50

Successful endovascular recanalization of a thrombosed arteriovenous fistula with extensive stenosis: A case report


1 Division of Vascular Surgery, Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China
2 Division of Vascular Surgery, Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, South Wing, 14th Floor K Block, Queen Mary Hospital, Hong Kong, China
3 Department of Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China; Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China

Correspondence Address:
Dr. Hai-Lei Li
Division of Vascular Surgery, Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2589-9686.346192

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Management of chronic arteriovenous fistula (AVF) thrombosis is challenging. In this case report, we described successful endovascular treatment for a thrombosed AVF with extensive stenosis. A 50-year-old woman presented with diminishing blood flow of her forearm AVF. Diagnostic angiogram showed a long segment of cephalic vein outflow stenosis, occlusion of one accessory cephalic vein branch, and proximal stenosis of the cephalic vein. After angioplasty, the occluded fistula was recanalized without any significant residual stenosis. The AVF had been functional at 6-month follow-up.


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