Modified proximalization of arterial inflow using a hemodialysis reliable outflow graft in a patient with vascular access failure.

Abstract

A 63-year-old man with end-stage renal disease and multiple failed vascular accesses (VAs) had been referred for creation of permanent dialysis access. He provided written informed consent for the report of his case details and imaging studies. His medical history included a failed kidney transplantation, aortic valve replacement, severe coronary artery disease requiring two coronary artery bypass grafts, and hypertension. A previous right groin and upper extremity VA had been complicated by chronic deep and central vein thrombosis, requiring stenting of the right innominate and superior vena cava (SVC) due to SVC syndrome.