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Jornal Vascular Brasileiro

Print version ISSN 1677-5449

Abstract

NEVES JUNIOR, Milton Alves das et al. Hemodialysis vascular access salvage: case report. J. vasc. bras. [online]. 2010, vol.9, n.3, pp.173-176. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492010000300014.

Chronic renal insufficiency (CRI) has high prevalence and the majority of the patients are in hemodialysis program and, then, they need a vascular access. Arteriovenous fistulas (AVF) are the more indicated accesses and have a long term use. Even in cases of complications, the salvage of theses accesses must be tried. Researches of literature show the possibility of access salvage of AFV's, even in a long time after the complication. The repair of thepresent access must always be tried, avoiding the depletion of the venous system. This study is a case report of a 69 years-old female patient with CRI presenting thrombosis of a brachial-cefalic AFV with drainage to basilic vein by collateral branches, which maturated that vein. Basilic vein was used on the access repair, avoiding catheter use.

Keywords : Renal insufficiency; renal dialysis; arteriovenous fistula.

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