A patient with arteriovenous fistula of simultaneously performed anastoplasty for excessive blood flow and graft bypass to secure an outflow tract

Miyamoto, Kanyu; Matsuoka, Naoya; Ono, Sumihisa; Nakamura, Shinya; Nagaya, Kohei; Asai, Nao; Nishikawa, Kazuhiro; Ito, Yasuhiko; Imai, Hirokazu

doi:10.1177/1129729818763483

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…The aneurysm and difficulty in haemostasis after puncture indicated that the vein was under chronic high pressure. The same procedure may be performed using a graft bypass as previously reported [6]. In this case, transposition of the median vein of the forearm was added to establish dual outflow to ensure patency.…”

Section: Discussionmentioning

confidence: 89%

Managing thrombosis of arteriovenous fistula accompanied by aneurysm and single outflow of elbow perforating vein: a case report

et al. 2022

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Background We report a case of a patient who suffered thrombosis of a radial artery-cephalic vein fistula accompanied by aneurysm and a single outflow path of the elbow perforating vein. We performed open surgery combined with Fogarty balloon catheter embolectomy, anastomotic reconstruction and forearm median vein transposition. Case presentation The patient presented with an arteriovenous fistula (AVF) after haemodialysis 5 years ago. In the process of dialysis, the fistula vein was punctured, resulting in aneurysm, high pressure and difficult haemostasis after needle extraction. AVF occlusion was observed on April 12, 2022. We performed a combined open surgery. First, a Fogarty balloon catheter was used to remove the thrombus, and the anastomosis was then reconstructed to restore AVF fistula patency. Finally, forearm median vein transposition was used to establish dual outflow. Postoperative haemodialysis was possible. There are various methods for removing the thrombus in AVF. Here, we report a case in which we performed open surgery combined with Fogarty balloon catheter embolectomy, anastomotic reconstruction and forearm median vein transposition to ensure fistula patency. Conclusion We removed a complete reverse ‘Z’-shaped thrombus of the elbow perforating vein in a haemodialysis fistula. This report provides an effective strategy to manage a high-pressure fistula with single outflow of the elbow perforating vein.

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Section: Discussionmentioning

confidence: 89%

Managing thrombosis of arteriovenous fistula accompanied by aneurysm and single outflow of elbow perforating vein: a case report

et al. 2022

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“…Takashi reported the replacement of an aortic arch aneurysm with 3-branched artificial vessels under independent cerebral and systemic extracorporeal circulation [ 19 ]. Kanyu reported a case of simultaneous anastomotic site septum formation surgery and prosthetic vessel replacement to ensure blood outflow access [ 20 ]. Xiaoqi proceeds with a complex surgery with complete resection of the mass, IVC with artificial vessel replacement, total hepatectomy, and bilateral nephrectomy with liver and kidney autotransplantation [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, and bilateral partial external iliac arteries with artificial vessel replacement during radical endometrial cancer surgery: a case report

Yang

et al. 2022

BMC Women's Health

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Background Endometrial carcinoma (EC) is a common malignant tumor of the female reproductive system, often accompanied by lymph node metastasis. Artificial vascular implantation is a common surgical treatment for mediastinal tumors and abdominal aortic aneurysms but is rarely used in gynecological surgery. Case presentation A 54-year-old female patient was first admitted to the hospital in January 2018 due to “irregular vaginal bleeding over 3 months”. CT showed a mass in the uterine cavity, and several swollen lymph nodes in the retroperitoneum and pelvic cavity. The initial diagnosis was an endometrial malignant tumor. We performed radical endometrial cancer surgery with parallel resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, bilateral external iliac arteries, and artificial vessel replacement, which was successful, with good postoperative recovery and no lesion progression at 3 years postoperative follow-up. Conclusion This is an early case of gynecological clinical use of prostheses. Through multidisciplinary cooperation, the surgical resection rate of patients with EC in radical surgery was improved without serious fatal complications and achieved a high long-term postoperative survival rate.

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RETRACTED ARTICLE: Effect of endovascular angioplasty in the treatment of early thrombosis of artificial vascular arteriovenous fistula based on medical image detection

2023

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A patient with arteriovenous fistula of simultaneously performed anastoplasty for excessive blood flow and graft bypass to secure an outflow tract

Abstract: Anastoplasty for excessive blood flow is considered to be an effective means in this case.

Cited by 4 publications

References 3 publications

Managing thrombosis of arteriovenous fistula accompanied by aneurysm and single outflow of elbow perforating vein: a case report

Managing thrombosis of arteriovenous fistula accompanied by aneurysm and single outflow of elbow perforating vein: a case report

Resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, and bilateral partial external iliac arteries with artificial vessel replacement during radical endometrial cancer surgery: a case report

RETRACTED ARTICLE: Effect of endovascular angioplasty in the treatment of early thrombosis of artificial vascular arteriovenous fistula based on medical image detection

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