Acute Ischemia of the Upper Extremity Following Graft Arteriovenous Fistula

  • Miltos K. Lazarides
  • Vasilios D. Tzilalis

Case Report

A 65-year-old woman with end-stage renal disease and insulin-dependent diabetes was admitted for access construction in order to start haemodialysis. There was a lack of suitable veins to construct an arteriovenous (AV) fistula, and the patient underwent placement of a 6-mm polytetrafluoroethylene (PTFE) AV bridge graft between the brachial artery and the axillary vein in the left arm.

Question 1

Which of the following is the order of preference for placement of a permanent angioaccess in new patients requiring chronic haemodialysis?
  1. A.

    (1) A brachio-cephalic AV fistula. (2) A wrist radial-cephalic AV fistula. (3) An AV PTFE bridge graft or a transposed brachial-basilic AV fistula. (4) A cuffed, tunnelled central venous catheter

  2. B.

    (1) A wrist radial-cephalic AV fistula. (2) A brachio-cephalic AV fistula. (3) An AV PTFE bridge graft or a transposed brachial-basilic AV fistula

  3. C.

    (1) A wrist radial-cephalic AV fistula. (2) A transposed brachial-basilic AV fistula. (3) A...


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Vascular SurgeryDemokritos University HospitalAlexandroupolisGreece
  2. 2.Department of Vascular SurgeryGeneral Military HospitalAthensGreece

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