The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia

We report the use of an upper extremity hemodialysis access site to facilitate endovascular treatment of the superior mesenteric artery in the setting of chronic mesenteric ischemia. A 64-year-old woman with end-stage renal disease on hemodialysis presented with worsening symptoms associated with ch...

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Main Authors: Mobeen Farooq, MD, Craig Greben, MD, Larry Frankini, MD, Eric Gandras, MD
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S246842871930070X
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author Mobeen Farooq, MD
Craig Greben, MD
Larry Frankini, MD
Eric Gandras, MD
author_facet Mobeen Farooq, MD
Craig Greben, MD
Larry Frankini, MD
Eric Gandras, MD
author_sort Mobeen Farooq, MD
collection DOAJ
description We report the use of an upper extremity hemodialysis access site to facilitate endovascular treatment of the superior mesenteric artery in the setting of chronic mesenteric ischemia. A 64-year-old woman with end-stage renal disease on hemodialysis presented with worsening symptoms associated with chronic mesenteric ischemia. Her left upper extremity interposition graft within the fistula access site was selected to avoid a hostile aortoiliac system and in consideration of the potential benefits it provided over transfemoral, transbrachial, and transradial sites. The procedure was technically successful without complication. Hemodialysis access sites, such as the interposition graft within the fistula of this patient, are a potential route of upper extremity access for mesenteric interventions in patients with end-stage renal disease on hemodialysis. Keywords: End-stage renal disease, Hemodialysis, Hemodialysis access site, Arteriovenous graft, Chronic mesenteric ischemia, Superior mesenteric artery stent
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spelling doaj.art-25c39219879b4e4dbb765096287462a82022-12-22T00:41:58ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-12-0154406409The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemiaMobeen Farooq, MD0Craig Greben, MD1Larry Frankini, MD2Eric Gandras, MD3Division of Vascular and Interventional Radiology, Department of Radiology, North Shore University Hospital, Manhasset, NY; Correspondence: Mobeen Farooq, MD, Division of Vascular and Interventional Radiology, Department of Radiology, North Shore University Hospital, 300 Community Dr, Manhasset, NY 11030Division of Vascular and Interventional Radiology, Department of Radiology, North Shore University Hospital, Manhasset, NYDivision of Vascular Surgery, Department of Surgery, North Shore University Hospital, Manhasset, NYDivision of Vascular and Interventional Radiology, Department of Radiology, North Shore University Hospital, Manhasset, NYWe report the use of an upper extremity hemodialysis access site to facilitate endovascular treatment of the superior mesenteric artery in the setting of chronic mesenteric ischemia. A 64-year-old woman with end-stage renal disease on hemodialysis presented with worsening symptoms associated with chronic mesenteric ischemia. Her left upper extremity interposition graft within the fistula access site was selected to avoid a hostile aortoiliac system and in consideration of the potential benefits it provided over transfemoral, transbrachial, and transradial sites. The procedure was technically successful without complication. Hemodialysis access sites, such as the interposition graft within the fistula of this patient, are a potential route of upper extremity access for mesenteric interventions in patients with end-stage renal disease on hemodialysis. Keywords: End-stage renal disease, Hemodialysis, Hemodialysis access site, Arteriovenous graft, Chronic mesenteric ischemia, Superior mesenteric artery stenthttp://www.sciencedirect.com/science/article/pii/S246842871930070X
spellingShingle Mobeen Farooq, MD
Craig Greben, MD
Larry Frankini, MD
Eric Gandras, MD
The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia
Journal of Vascular Surgery Cases and Innovative Techniques
title The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia
title_full The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia
title_fullStr The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia
title_full_unstemmed The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia
title_short The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia
title_sort use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia
url http://www.sciencedirect.com/science/article/pii/S246842871930070X
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