Angioplasty and stenting for the proximal anastomotic stenosis of a brachio-axillary bypass graft using a helical interwoven nitinol stent A case reportopen access
- Authors
- Cho, Soo Buem; Choi, Ho Cheol; Bae, EunJin; Park, Tae Jin; Baek, Hye Jin; Park, Sung Eun; Ryu, Kyeong Hwa; Moon, Jin Il; Choi, Bo Hwa; Bae, Kyungsoo; Jeon, Kyung Nyeo
- Issue Date
- Dec-2017
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- angioplasty; arteriovenous graft; Supera stent; thrombosis
- Citation
- MEDICINE, v.96, no.50
- Indexed
- SCIE
SCOPUS
- Journal Title
- MEDICINE
- Volume
- 96
- Number
- 50
- URI
- https://scholarworks.bwise.kr/gnu/handle/sw.gnu/13326
- DOI
- 10.1097/MD.0000000000009073
- ISSN
- 0025-7974
- Abstract
- Rationale: Thrombosis due to anastomotic site stenosis is the most common complication in patients with brachio-axillary arteriovenous graft (AVG). Intravascular stent placement may play a special role in the salvage of dialysis grafts that have been previously performed percutaneous angioplasty or surgical procedure on the graft. Herein, we applied a novel stent named Supera which has a high degree of flexibility and resistance to external compression for treating a patient with recurrent venous anastomotic stenosis of brachio-axillary AVG. Patients concerns and diagnoses: We report a case of the patient with end-stage renal disease who presented with brachioaxillary AVG malfunction. Interventions: The patient underwent repeated percutaneous angioplasty with thrombectomy for total graft occlusion, and we placed the Supera stent to salvage the graft. Outcomes: Postprocedural Doppler ultrasonography did not show any restenosis on the 1- and 3-month follow-up periods, and average flow volume in the stent was >1000mL/min. And he has been on dialysis for 6 months without any problems after stent placement. Lessons: The Supera stent is a useful treatment option of interventional procedure for recurrent venous anastomotic stenosis of brachio-axillary AVG in the clinical practice.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medicine > Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.