RÉSUMÉ
An arteriovenous fistula is the preferred vascular access for hemodialysis. Secondary thrombosis secondary to a venous stenosis is the most common complication seen with AV fistulas, and currently, percutaneous endovascular intervention [balloon angioplasty and stenting] is considered the treatment of choice for venous stenosis. Despite being less invasive than surgery, these interventions present a unique subset of potential complications with limited evidence available on optimal treatment
We report a case of migrated basilic vein stents in a seventeen-year-old male undergoing hemodialysis through a brachiobasilic AY fistula. The complication was treated by fixing the stents to the venous wall using non-absorbable sutures. The objective was to prevent further stent migration towards the heart and thus, steer away from a probable catastrophic event
Sujet(s)
Humains , Mâle , Adolescent , Dialyse rénale , Fistule , Fistule artérioveineuseRÉSUMÉ
A guide wire was lost during insertion of a femoral arterial line in a sick patient in the Intensive Care Unit. This was successfully managed by surgical retrieval of the wire. The principle of central vascular catheter insertion and the current interventions to deal with guide wire loss in discussed in this report