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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2018, Number 1

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Rev Mex Angiol 2018; 46 (1)

Reporte de caso y análisis de evidencia actual en salvamento de acceso vascular para hemodiálisis mediante técnica endovascular

Arriaga-Caballero JE, Torres-Martínez JA, Serrano-Lozano JA, Guardado-Bermúdez F, Sánchez-Burgoa N, Moya-Jiménez S

Language: Spanish
References: 10
Page: 19-23
PDF size: 326.88 Kb.


ABSTRACT

Introduction. We present a patient with multiple vascular accesses, the last right brachiocephalic fistula, considered as valuable access that presented pseudoaneurysm and stenosis after puncture, it was successfully treated with endovascular treatment and exclusion with a Stent graft.
Objectives. To compare current evidence with the exposed case and salvage of fistula using endovascular therapy.
Material and methods. Search for systematic reviews and clinical trials in databases: PubMed, Embase, Ovid, Scielo to integrate current evidence and subsequent critical management analysis of the clinical case in question.
Results. Thrill was evident throughout the hemodialysis access. Ultrasound revealed no flow in the aneurysmal sac and flow improvement up to 1,549 mL/min, with subsequent successful hemodialysis punctures and sessions.
Conclusions. The use of Stent graft has demonstrated good primary permeability in the field of rescue of vascular accesses for hemodialysis with complications.


REFERENCES

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