Reconstruction of an arteriovenous graft using the transected end of a pre-existing stent graft: A case report.
Takehisa Nojima, Yasuki Motomiya, Kanako Takai
✦ AI-curated · Sources linked
Case in brief
A 78-year-old woman on long-term hemodialysis experienced graft degeneration with recurrent stenosis despite having a functioning stent graft. Due to the infeasibility of creating new vascular access, ipsilateral reconstruction was performed. A new prosthetic graft was anastomosed to the radial artery, and the transected end of the stent graft was used for venous anastomosis. Postoperative angiography showed good patency, and the AVG was ready for cannulation in 10 days.
Diagnostic / clinical pearl
This case illustrates the potential for reusing a transected stent graft in arteriovenous graft reconstruction, which may be a viable option in select patients with graft degeneration.