Venous Outflow Stenosis of the Brachiocephalic Fistula: A Single Entity, or is the Cephalic Arch Different?

Jackson, Andrew; Aitken, Emma; Kasthuri, Ram; Kingsmore, David

doi:10.4172/2329-6925.1000154

Cited by 2 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Balloon angioplasty and stenting have been used with variable degrees of success. A study by Jackson et al, 7 who noted a 12-month primary assisted patency rate of only 43% in 43 patients following balloon angioplasty alone for cephalic arch stenosis with an average of 2.3 interventions per patient. A more viable long-term solution that does not involve the use of artificial material such as a stent is surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Salvage of a megafistula causing high-output cardiac failure in a young adult with aneurysmorrhaphy and banding

Goldschmidt

Schafer

Hariri³

et al. 2021

J Vasc Access

View full text Add to dashboard Cite

We present the case of a 21-year-old male with significant lengthening and aneurysmal degeneration of his brachiocephalic arteriovenous fistula resulting in a megafistula and high-output cardiac failure. A computed tomography angiogram showed narrowing at the cephalic arch. Further evaluation during the operation revealed kinking and elongation of the fistula in addition to compression of the cephalic arch in the deltopectoral groove leading to outflow obstruction. The aneurysmal fistula was treated successfully with aneurysmorrhaphy of the remaining conduit and banding of the inflow. This case demonstrates a unique etiology of venous outflow obstruction for a fistula and describes the surgical approach to its treatment in a young patient suffering from cardiac failure.

show abstract

Section: Discussionmentioning

confidence: 99%

Salvage of a megafistula causing high-output cardiac failure in a young adult with aneurysmorrhaphy and banding

Goldschmidt

Schafer

Hariri³

et al. 2021

J Vasc Access

View full text Add to dashboard Cite

show abstract

Hemodynamic and Biologic Determinates of Arteriovenous Fistula Outcomes in Renal Failure Patients

Hammes

2015

BioMed Research International

View full text Add to dashboard Cite

The outcome of patients with end-stage renal disease on hemodialysis depends on a functioning vascular access. Although a variety of access options are available, the arteriovenous fistula remains the best vascular access. Unfortunately the success rate of mature fistula use remains poor. The creation of an arteriovenous fistula is followed by altered hemodynamic and biological changes that may result in neointimal hyperplasia and eventual venous stenosis. This review provides an overview of these changes and the needed research to provide a long lasting vascular access and hence improve outcomes for patients with end-stage renal disease.

show abstract

Venous Outflow Stenosis of the Brachiocephalic Fistula: A Single Entity, or is the Cephalic Arch Different?

Cited by 2 publications

References 21 publications

Salvage of a megafistula causing high-output cardiac failure in a young adult with aneurysmorrhaphy and banding

Salvage of a megafistula causing high-output cardiac failure in a young adult with aneurysmorrhaphy and banding

Hemodynamic and Biologic Determinates of Arteriovenous Fistula Outcomes in Renal Failure Patients

Contact Info

Product

Resources

About