Brachiobasilic arteriovenous fistula for hemodialysis access: experience at King Hussein Medical Center

Objective: To evaluate the [one, two, three] year primary and secondary patency of brachiobasilic arteriovenous fistula [BBAVF] as hemodialysis vascular access and procedure complications at King Hussein Medical Center

Methods: A retrospective single-center study, analyzing the patency of 129 BBAVF procedures for hemodialysis vascular access and associated complications. Follow up patency was assessed by adequacy of BBAVF for hemodialysis over 3 years' period

Results: [One, two, three] year primary patency was [75, 62, 47] % respectively and [one, two, three] year secondary patency was [77, 64, 50] % respectively. Failure of maturation was seen in 16 patients [12%]. Hematoma developed in 5 patients [3.9%]. Bleeding related to infection developed in 3 patients [2.3%]. Wound infection developed in 13 patients [10.1%]. Arterial steal developed in 14 patients [10.9%]. Venous hypertension developed in 12 patients [9.3%]. Ischemic monomelic neuropathy developed in 2 patients [1.6%]. Pseudoaneurysm at puncture sites developed in 12 patients [9.3%]. Thrombosis developed in 24 patients [19%]. There was no procedure related mortality

Conclusion: BBAVF is an important and effective option in KHMC for chronic renal failure patients requiring hemodialysis with acceptable patency and complication rates

Spontaneous carotid artery dissection as a cause of stroke in a patient with factor V Leiden mutation: a case report and review of the literature

A 36 year old male soldier underwent colour doppler ultrasound [CDU] study of carotid arteries after sudden onset of left sided weakness The investigation revealed dissection of the right internal carotid artery [ICA]. assessment of the coagulation status showed that our patient has homozygotic mutation of factor V Leiden.This observation is the third reported case of ICA dissection occurring in a patient with factor V Leiden and the first of ICA dissection in association with homozygotic mutation of factor V Leiden mutation

Spontaneous internal jugular vein thrombosis in association with factor V Leiden: a case report

We report an unusual case of internal jugular vein thrombosis in a 33-year-old female patient who presented with a right-sided painful neck swelling. Diagnosis was proven by color Doppler ultrasonographic examination. Thrombosis screen revealed that the patient had heterozygotic mutation of factor V Leiden. Causes of internal jugular vein thrombosis are reviewed. The molecular basis of this mutation is described, and the importance of screening for hereditary thrombosis states is highlighted