Arteriovenous graft for hemodialysis vascular access is a widely used technique with many advantages. However, it has crucial complications with graft thrombosis and infection. We recently experienced an unusual case of arteriovenous graft complication involving graft thrombosis related to fistula formation between the graft and the natural vein with infection. We diagnosed this condition using...

Venepuncture of the superficial veins in the forearm is considered a relatively safe procedure. We report two patients who presented with osteomyelitis of the proximal radius following venous cannulation of the median cubital vein, and one patient who developed osteomyelitis of the distal radius after cannulation of the cephalic vein. Osteomyelitis developing in proximity to a venepuncture site...

Abstract Background Pseudoaneurysm formation is known to complicate arteriovenous haemodialysis access. Ultrasound guided thrombin injection a recognised treatment option, but not possible in pseudoaneurysms with no measurable neck. Balloon assisted techniques have been described such cases, which transiently obstruct flow out of the pseudoaneurysm and thereby prevent non-target embolization du...

Arteriovenous fistulas (AVF) are the preferred for hemodialysis access with suitable (2.0-2.5 mm) veins. AVF maturation has been poor globally and often leads to increased catheter contact time costs. Intermittent compression of upper arm veins may aid in forearm vein dilation pre-surgery assist placement size expectations. This is was a prospective, IRB approved trial. A novel intermittent pne...

Abstract Introduction Transvenous lead implantation for pacemaker is commonly performed by the cephalic vein cutdown (CVC), subclavian (SVP), or axillary puncture (AVP)(1). However, CVC AVP should be considered as first choice, according to last guidelines, due high rate of complications and pneumothorax SVP. Objective To compare efficacy safety compared with CIED a meta-analysis. Methods We sy...

BACKGROUND The depth of veins can discourage surgeons from creating radial-cephalic arteriovenous accesses for hemodialysis in obese patients. Elevation and tunneled transposition are the two techniques that have been described to superficialize these veins and make them accessible for cannulation. Unfortunately, such manipulation of veins has potential drawbacks. We report lipectomy, a new tec...