An occult cause of hemodialysis vascular access dysfunction
Journal
Renal Failure
Journal Volume
32
Journal Issue
8
Pages
1016-1018
Date Issued
2010
Author(s)
Abstract
Although hemodialysis vascular access dysfunction is often caused by venous stenosis, stenosis can occur anywhere in the circuit. Herein, we report a 75-year-old woman who received repeated percutaneous angioplasty due to insufficient flow. Finally, a culprit stenosis at the subclavian artery was found and treated. Subclavian artery stenosis is often atherosclerotic in origin and is usually delayed to be diagnosed because of caveats in the care of vascular access. This case highlights important clues that can assist in the early discovery of inflow problems and reminds the physician that inflow stenosis may be hidden at a site far from the anastomosis. ? 2010 Informa UK Ltd.
SDGs
Other Subjects
aged; angiography; arteriovenous fistula; artery occlusion; article; atherosclerosis; cardiovascular risk; case report; female; hemodialysis; hemodialysis vascular access dysfunction; human; kidney failure; magnetic resonance angiography; percutaneous transluminal angioplasty; peripheral vascular disease; priority journal; subclavian artery; ultrasound; Aged; Angioplasty, Balloon; Arterial Occlusive Diseases; Arteriovenous Shunt, Surgical; Constriction, Pathologic; Female; Humans; Kidney Failure, Chronic; Renal Dialysis; Subclavian Artery
Type
journal article