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Original Article

A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging

Authors:

N Verbeeck ,

Dpt of Radiology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of Luxembourg
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JC Pillet,

Dpt of Vascular Surgery, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of Luxembourg
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F Prospert,

Dpt of Nephrology, Dpt of Urology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of Luxembourg
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D McIntyre,

Dpt of Urology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of Luxembourg
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S Lamy

Dpt of Urology, Centre Hospitalier de Luxembourg, Luxembourg, Grand Duchy of Luxembourg
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Abstract

Renal transplantation is the choice treatment of end-stage renal disease. When it is not indicated or not immediately feasible, hemodialysis must be performed, preferably via a native arteriovenous fistula in the forearm. A pre-anastomotic occlusion of this type of fistula is often accompanied by a thrombosis of its draining vein. In some instances, the venous segment may remain permeable thanks to the development of arterial collateral pathways and may even allow efficient dialysis without any clinical syndrome of distal steal. We present the echo-Doppler, magnetic and angiographic characteristics of three of these collateralized shunts that have remained functional, in one of the cases following a percutaneous dilation.

How to Cite: Verbeeck N, Pillet J, Prospert F, McIntyre D, Lamy S. A spontaneous pre-anastomotic occlusion does not necessarily impair forearm native dialysis fistulas: echo-Doppler, 3D MR angiographic and digital subtraction angiographic imaging. Journal of the Belgian Society of Radiology. 2013;96(2):55–64. DOI: http://doi.org/10.5334/jbr-btr.209
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Published on 01 Mar 2013.
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