Document Detail


An occult cause of hemodialysis vascular access dysfunction.
MedLine Citation:
PMID:  20722573     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although hemodialysis vascular access dysfunction is often caused by venous stenosis, stenosis can occur anywhere in the circuit. Herein, we report a 75-year-old woman who received repeated percutaneous angioplasty due to insufficient flow. Finally, a culprit stenosis at the subclavian artery was found and treated. Subclavian artery stenosis is often atherosclerotic in origin and is usually delayed to be diagnosed because of caveats in the care of vascular access. This case highlights important clues that can assist in the early discovery of inflow problems and reminds the physician that inflow stenosis may be hidden at a site far from the anastomosis.
Authors:
Pei-Ching Kuo; Chih-Cheng Wu; Wen-Jone Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Renal failure     Volume:  32     ISSN:  1525-6049     ISO Abbreviation:  Ren Fail     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-20     Completed Date:  2011-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701128     Medline TA:  Ren Fail     Country:  England    
Other Details:
Languages:  eng     Pagination:  1016-8     Citation Subset:  IM    
Affiliation:
Department of Medicine, Hsinchu General Hospital, Hsinchu, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Balloon
Arterial Occlusive Diseases / diagnosis*,  etiology,  therapy
Arteriovenous Shunt, Surgical*
Constriction, Pathologic
Female
Humans
Kidney Failure, Chronic / complications,  pathology,  therapy*
Renal Dialysis*
Subclavian Artery*

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


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