Dr.M.D.Pradeep AV fistula salvage angioplasty

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First case of AV fistula salvage angioplasty done in Hosur @ Sri Chandra Sekara Hospital By Dr.M.D.Pradeep, Consultant Interventional Radiologist.

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Case-History. 40 years old male patient, Known case of Chronic Kidney disease (CKD) on Hemodialysis Through Left Brachio -cephalic AV fistula came with complaints of feeble thrill at the fistula site with sluggish flow..

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USG-Doppler showed evidence of complete intra-luminal cephalic vein thrombosis from the level of Juxta-anatomotic site with no flow within..

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INITIAL FISTULOGRAM.

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BRACHIAL ARTERY. JUXTA- ANASTOMOTIC SITE. CEPHALIC VEIN SHOWING NO FLOW WITHIN DUE TO THROMBOSIS.

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THROMBOLYSIS. SERIAL BALLOON DILATATION was performed after negotiating the wire through the thrombus under ultrasound guidance. Video demonstration.

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COMPLETION FISTULOGRAM.

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. BRACHIAL ARTERY. JUXTA- ANASTOMOTIC SITE. CEPHALIC VEIN SHOWING COMPLETE RECANALISATION.

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INITIAL FISTULOGRAM. COMPLETION FISTULOGRAM.

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ULTRASOUND-DOPPLER PRE-PROCEDURE Thromb03ed Cephalic vein POST-PROCEDURE ve 21&8 Cephalic vein ",howing complet> recanalisationwi good flow.

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THANK YOU.