Angioplasty and stenting for the proximal anastomotic stenosis of a brachio-axillary bypass graft using a helical interwoven nitinol stent: A case report

Soo Buem Cho, Ho Cheol Choi, Eunjin Bae, Tae Jin Park, Hye Jin Baek, Sung Eun Park, Kyeong Hwa Ryu, Jin Il Moon, Bo Hwa Choi, Kyungsoo Bae, Kyung Nyeo Jeon

Research output: Contribution to journalArticlepeer-review

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 brachio-axillary 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 >1000 mL/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.

Original languageEnglish
Article numbere9073
JournalMedicine (United States)
Volume96
Issue number50
DOIs
StatePublished - 1 Dec 2017

Keywords

  • Angioplasty
  • Arteriovenous graft
  • Supera stent
  • Thrombosis

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