Universität zu Köln

Shahverdyan, Robert ORCID: 0000-0002-8352-0954, Konner, Klaus and Matoussevitch, Vladimir (2021). The past and the future of vascular access surgery: Creation of percutaneous arteriovenous fistula using Ellipsys vascular access system in a patient with previous ipsilateral Scribner-shunt. J. Vasc. Access, 22 (6). S. 1032 - 1036. LONDON: SAGE PUBLICATIONS LTD. ISSN 1724-6032

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Abstract

Background: Sixty years after the first description of Scribner-shunt, and 54 years after publication of the first radio-cephalic arterio-venous fistula (AVF), endovascular percutaneous AVF (pAVF) was introduced. We report a successful case of Ellipsys-pAVF creation and use for hemodialysis in a patient with a previous ipsilateral Scribner-shunt. Case: A 72-year old female patient with chronic kidney disease (CKD), previous right-sided Scribner-shunt and kidney transplant, underwent a successful creation of right-sided Ellipsys-pAVF. The procedure time was 12 min with intraoperative brachial artery volume flow of 720 ml/min. At 39 days, an ultrasound-guided balloon-angioplasty of the outflow cephalic vein stenosis was performed. Cannulations were started 41 days after the creation of pAVF. No additional interventions were required during the follow-up of 258 days with last follow-up volume flow of 1400 ml/min. Conclusions:This is the first report of the creation of pAVF in a patient with previous traumatic ipsilateral placement of a Scribner-shunt. It allows the creation of a small anastomosis in very short time, which can be successfully used for hemodialysis treatment on the same day, if necessary, and reduces the expected risk of high-flow AVF with associated peripheral steal and cardiac outcomes (especially in a patient with cardiomyopathy such this one).

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Shahverdyan, Robert UNSPECIFIED orcid.org/0000-0002-8352-0954 UNSPECIFIED Konner, Klaus UNSPECIFIED UNSPECIFIED UNSPECIFIED Matoussevitch, Vladimir UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-568614
DOI:	10.1177/1129729820969323
Journal or Publication Title:	J. Vasc. Access
Volume:	22
Number:	6
Page Range:	S. 1032 - 1036
Date:	2021
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1724-6032
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PROXIMAL RADIAL ARTERY Multiple languages Peripheral Vascular Disease Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56861