Emergent endovascular repair for PTA-induced venous rupture in a nonagenarian dialysis patient

Abstract

A percutaneous transluminal angioplasty (PTA)-induced venous rupture is an unfavorable adverse event on treatment for vascular access failure, which might lead to a catastrophic bleeding regardless of prolonged balloon tamponade or manual compression (1). We report a successful case of the emergent endovascular repair with a polytetrafluoroethylene (PTFE)-covered stent for a PTA-induced venous rupture in a nonagenarian dialysis patient. The patient was a 93-year-old female with chronic renal failure and senile dementia, who had started hemodialysis with a vascular access on the left arm in 2008. Another vascular access was established on the left leg in 2012 using 6 mm-4 mm diameter Advanta VS prosthetic graft (Atrium Medical, Hudson, NH, USA) considering the difficulty in supine posture owing to the severe muscular contracture of