Dr.M.D.Pradeep AV fistula salvage angioplasty

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

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..

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

INITIAL FISTULOGRAM.

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

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

COMPLETION FISTULOGRAM.

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

INITIAL FISTULOGRAM. COMPLETION FISTULOGRAM.

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

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