A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging

Renal transplantation is the choice treatment of end-stage renal disease. When it is not indicated or not immediately feasible, hemodialysis must be performed, preferably via a native arteriovenous fistula in the forearm. A pre-anastomotic occlusion of this type of fistula is often accompanied by a...

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Main Authors: N Verbeeck, JC Pillet, F Prospert, D McIntyre, S Lamy
Format: Article
Language:English
Published: Ubiquity Press 2013-03-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Online Access:https://www.jbsr.be/articles/209
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spelling doaj-5a88780d55314a1ba99f7b7385c8fa682020-11-24T22:11:45ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812013-03-01962556410.5334/jbr-btr.209209A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imagingN Verbeeck0JC Pillet1F Prospert2D McIntyre3S Lamy4Dpt of Radiology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of LuxembourgDpt of Vascular Surgery, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of LuxembourgDpt of Nephrology, Dpt of Urology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of LuxembourgDpt of Urology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of LuxembourgDpt of Urology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of LuxembourgRenal transplantation is the choice treatment of end-stage renal disease. When it is not indicated or not immediately feasible, hemodialysis must be performed, preferably via a native arteriovenous fistula in the forearm. A pre-anastomotic occlusion of this type of fistula is often accompanied by a thrombosis of its draining vein. In some instances, the venous segment may remain permeable thanks to the development of arterial collateral pathways and may even allow efficient dialysis without any clinical syndrome of distal steal. We present the echo-Doppler, magnetic and angiographic characteristics of three of these collateralized shunts that have remained functional, in one of the cases following a percutaneous dilation.https://www.jbsr.be/articles/209Fistulaarteriovenous
collection DOAJ
language English
format Article
sources DOAJ
author N Verbeeck
JC Pillet
F Prospert
D McIntyre
S Lamy
spellingShingle N Verbeeck
JC Pillet
F Prospert
D McIntyre
S Lamy
A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging
Journal of the Belgian Society of Radiology
Fistula
arteriovenous
author_facet N Verbeeck
JC Pillet
F Prospert
D McIntyre
S Lamy
author_sort N Verbeeck
title A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging
title_short A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging
title_full A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging
title_fullStr A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging
title_full_unstemmed A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging
title_sort spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-doppler, 3d mr angiographic and digital subtraction angiographic imaging
publisher Ubiquity Press
series Journal of the Belgian Society of Radiology
issn 2514-8281
publishDate 2013-03-01
description Renal transplantation is the choice treatment of end-stage renal disease. When it is not indicated or not immediately feasible, hemodialysis must be performed, preferably via a native arteriovenous fistula in the forearm. A pre-anastomotic occlusion of this type of fistula is often accompanied by a thrombosis of its draining vein. In some instances, the venous segment may remain permeable thanks to the development of arterial collateral pathways and may even allow efficient dialysis without any clinical syndrome of distal steal. We present the echo-Doppler, magnetic and angiographic characteristics of three of these collateralized shunts that have remained functional, in one of the cases following a percutaneous dilation.
topic Fistula
arteriovenous
url https://www.jbsr.be/articles/209
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