Balloon Angioplasty to Great Saphenous Vein Graft Interposed in RUDI

Year 2023, Volume: 26 Issue: 2, 96 - 98, 12.07.2023

Betül Nur Keser Abdulkerim Özhan Cemal Kocaaslan Fatih Avni Bayraktar Ahmet Öztekin Ebuzer Aydın

Abstract

Vascular access-induced ischemia is an arteriovenous fistula (AVF) complication that can be treated surgically by interposing grafts to improve distal flow. However, over time, the interposed grafts may occasionally experience narrowing, which may require surgical or endovascular interventions for treatment. In this case report, we present a patient who underwent balloon angioplasty to address the narrowing observed in the great saphenous vein graft that had been interposed during a Revision Using Distal Inflow (RUDI) procedure.

Keywords

Arteriovenous fistula, balloon angioplasty, dialysis, ischemia

References

• 1. Misskey J, Yang C, MacDonald S, Baxter K, Hsiang Y. A comparison of revision using distal inflow and distal revascularization-interval ligation for the management of severe access-related hand ischemia. J Vasc Surg 2016;63(6):1574-81. [Crossref]
• 2. Minion DJ, Moore E, Endean E. Revision using distal inflow: A novel approach to dialysis-associated steal syndrome. Ann Vasc Surg 2005;19(5):625-8. [Crossref]
• 3. Kordzadeh A, Garzon LAN, Parsa AD. Revision using distal inflow for the treatment of dialysis access steal syndrome: A systematic review. Ann Vasc Dis 2018;11(4):473-8. [Crossref]
• 4. Leake AE, Winger DG, Leers SA, Gupta N, Dillavou ED. Management and outcomes of dialysis access-associated steal syndrome. J Vasc Surg 2015;61(3):754-61. [Crossref]
• 5. Malik J, Tuka V, Kasalova Z, Chytilova E, Slavikova M, Clagett P, et al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access 2008;9(3):155-66. [Crossref]