Scott S. Berman, MD, FACS, Andrew T. Gentile, MD

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Presentation transcript:

Impact of secondary procedures in autogenous arteriovenous fistula maturation and maintenance Scott S. Berman, MD, FACS, Andrew T. Gentile, MD Journal of Vascular Surgery Volume 34, Issue 5, Pages 866-871 (November 2001) DOI: 10.1067/mva.2001.118086 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Focal stenosis in a Brescia-Cimino fistula (A) successfully treated with transposition of the vein to a more proximal segment of radial artery (B). Journal of Vascular Surgery 2001 34, 866-871DOI: (10.1067/mva.2001.118086) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Long-segment stenosis in an elbow brachiocephalic fistula that failed to mature. Treatment required an interposition graft. Journal of Vascular Surgery 2001 34, 866-871DOI: (10.1067/mva.2001.118086) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Fistulogram performed via direct puncture of a failing Brescia-Cimino showing severe proximal stenosis. Journal of Vascular Surgery 2001 34, 866-871DOI: (10.1067/mva.2001.118086) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Fistula seen in Fig 3 revised by transposition to a more proximal segment of radial artery. Journal of Vascular Surgery 2001 34, 866-871DOI: (10.1067/mva.2001.118086) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Subsequent angiogram of the proximal subclavian artery of patient in Figs 3 and 4 obtained after revised fistula failed to perform adequately. Journal of Vascular Surgery 2001 34, 866-871DOI: (10.1067/mva.2001.118086) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 6 Ideal catheter location to assess immature or failing fistulas, which allows for complete visualization of arterial inflow and venous outflow. Journal of Vascular Surgery 2001 34, 866-871DOI: (10.1067/mva.2001.118086) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions