Document Detail

Salvage of a failing dialysis graft by percutaneous creation of a jump bypass graft.
MedLine Citation:
PMID:  17675628     Owner:  NLM     Status:  MEDLINE    
Percutaneous salvage of failing arteriovenous grafts with diffuse disease or occlusion in the venous outflow remains an issue with no ideal solution. The present report describes a method of percutaneous creation of vascular bypasses in a patient with a failing graft. The patient had a long-segment stenosis in the venous outflow of a brachial-cephalic dialysis graft, and the graft was salvaged by conversion to a brachial-basilic graft. Notably, this method allowed the bypass to safely traverse a long distance (20 cm), and at 8 months, the graft remained functional and free of complications. In principle, this approach can be applied to different situations in which superficial bypass conduits are desired.
Michael D Kuo; Dennis H Son; Franklin J Miller
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  18     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-06     Completed Date:  2008-04-04     Revised Date:  2008-10-21    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1054-8     Citation Subset:  IM    
Department of Radiology, University of California San Diego Medical Center, 200 West Arbor Drive, San Diego, California 92103, USA.
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MeSH Terms
Angioplasty, Balloon*
Arm / blood supply*
Arteriovenous Shunt, Surgical*
Collateral Circulation
Graft Occlusion, Vascular / etiology,  therapy*
Middle Aged
Renal Dialysis*
Salvage Therapy* / methods
Veins / physiopathology,  surgery
Comment In:
J Vasc Interv Radiol. 2008 Jun;19(6):955; author reply 955-6   [PMID:  18503916 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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