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Nephrology Dialysis Transplantation 2004 19(10):2647-2649; doi:10.1093/ndt/gfh289
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Nephrol Dial Transplant Vol. 19 No. 10 © ERA-EDTA 2004; all rights reserved

Case Report

Iatrogenic fistula between prosthetic haemodialysis access graft and autogenous vein: unusual cause of graft thrombosis

Seung Kee Min1, Yeon Ho Park1, Hyun Hee Lee2, Joon Seung Lee2, Woo Kyung Chung2, Jong Ho Lee2, Young Hwan Koh3 and Tae-Seok Seo3

1 Department of Surgery, 2 Department of Internal Medicine and 3 Department of Radiology, Gachon Medical School, Gil Medical Center, Incheon, South Korea

Correspondence and offprint requests to: Seung Kee Min, MD, Division of Vascular Surgery, Department of Surgery, Gachon Medical School, Gil Medical Center, 1198 Kuwol-Dong, Namdong-Gu, Incheon 405-760, South Korea. Email: docmin@ghil.com

Keywords: graft thrombosis; haemodialysis; iatrogenic fistula; prosthetic vascular access graft

The first 10% of the full text of this article appears below.



   Introduction
 
Haemodialysis access graft is so important as to be called a lifeline for the patient on maintenance haemodialysis. The vascular access problem is the leading cause of admission in patients with end-stage renal disease. Many complications of the prosthetic vascular access graft are reported, such as graft thrombosis, infection, aneurysm or pseudoaneurysm, and arterial steal syndrome [1]. We recently experienced two cases of graft thrombosis related to the iatrogenic fistula between haemodialysis access graft and autogenous vein at the needling site during haemodialysis. We report our cases with their clinical manifestation and the treatment outcome and possible methods of prevention [2].



   Case 1
 
A 76-year-old female on long-term haemodialysis . . . [Full Text of this Article]



   Case 2
 


   Discussion
 

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