Arteriovenous Fistula Stenosis: A Case Report
Heart Science Journal
Arteriovenous fistula (AVF) has better rate of patency and lower rate of complication compared to other vascular access for hemodialysis. One priority to be concerned is access failure for hemodialysis access is common findings and correspond with high healthcare cost, morbidity and mortality. Objective: This case report aimed to elaborate the proper management of patient with arterio fistula stenosis. Case Illustration: A man, 64 years old, stage V CKD with AVF in his left arm for hemodialysis
... access was admitted to our hospital due to difficulty in cannulation during his last hemodialysis. He had AVF For Hemodialysis access for two years. About 1 month before, he undergone surgery for creation of AVF for hemodialysis access in his right arm, but AVF was failed to reach maturation. Based on vascular doppler ultrasound (DUS) done in AVF of the left arm revealed there was stenosis in the juxta-anastomosis site and cephalic venous stenosis. Angioplasty was done in anastomose AVF and implantation of venous stent in the left cephalic vein. Conclusion: For patients on hemodialysis, vascular access is considered as the lifeline. Complications related to Vascular access is associated with morbidity and reduced quality of life. Surgery often difficult to do as readily as a percutaneous approach. In more than 80% of hemodialysis access underwent percutaneous interventions, flow was successfully restored. Based on this success rate, it has replaced surgical revision as the treatment of stenosis AVF.