Migrated basilic vein stents

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

Obturator bypass for recurrent infected femoral artery pseudoaneurysm

A seventy-three-year-old female presented with acute left-lower limb ischemia associated with groin swelling, one year following the resolution of an infected left-Common Femoral Artery [CFA] Pseudoaneurysm. Ultrasound Scan of the left-groin revealed Common Femoral Artery Pseudoaneurysm. CT angiography confirmed the presence of the pseudoaneurysm with surrounding cystic swelling associated with multiple air pockets and inflammatory changes suggestive of infected pseudoaneurysm. The patient was started on broad-spectrum antibiotics and underwent a left ilio-popliteal [obturator] bypass in addition to debridement of left-groin infected pseudoaneurysm