Journal Article Ahead of print
PubMed: 41258802 DOI: 10.1177/11297298251382529
Novel hybrid brachio-axillary arterio-venous synthetic-graft-to-endograft procedure for primary haemodialysis access construction.
J Vasc Access
Authors: Georgios Chatzantonis, Alexandros Mallios, Konstantinos T Delis, Aouatif E El Kanty, Natasha Hasemaki, Theodoros Mansolas, Konstantinos Tzanis, Chris Klonaris
Affiliations
- Second Department of Vascular Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
- Department of Vascular Surgery, Groupe Hospitalier Paris Saint Joseph, Paris, France.
- Department of Surgery, Centre Hospitalier de Chartres, Le Coudray, France.
Abstract
Effective vascular access may be particularly challenging to construct and to maintain, particularly in patients on long standing dialysis dependence, compromised by multiple prior access failures, vascular conduit degradation and chronic access-related comorbidities. Presented herein is a case involving the primary construction of a novel hybrid brachio-axillary arteriovenous graft (AVG), performed de novo using a synthetic graft anastomosed distally to the brachial artery and bridged proximally with a self-expanding stent-graft deployed under ultrasonic and c-arm guidance into the axillary and subclavian veins. This procedure was conducted in a 41-year-old male with multiple prior access failures, and resulted in an effective and sustainable (>6/12) haemodialysis access.
MeSH
Catheterization, Central Venous, Transplants