Upendra Kaul*, Arvind Sethi and Priyadarshini Arambam
Fortis Escorts Heart Institute, New Delhi, India
Received Date: September 24, 2014; Accepted Date: September 25, 2014; Published Date: September 27, 2014
Citation: Kaul U, Sethi A, Arambam P (2014) Stenosed Dialysis Fistula: Made functional by Drug Eluting Balloon Angioplasty. Anat Physiol 4:i101. doi:10.4172/2161-0940.1000i101
Copyright: © 2014 Kaul U et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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A 69 year old man with stage V chronic kidney disease on maintenance haemodialysis presented with a partially blocked fistula preventing hemodialysis 6 weeks after surgery.
Angiogram showed severe stenosis at the junction of radial artery with adjoining vein preventing a free flow. Hemodialysis was no longer possible using this route (Figure A).
Patient was subjected to a balloon dilatation and finally a drug eluting balloon was used to deliver paclitaxel (4 X 28 MMS, B Braun, Sequent Please) (Figure B).
The flow was immediately restored with no residual stenosis (Figure C).
Patient has been having trouble free hemodialysis subsequently. The follow up has been more than 10 months now.