Prosthetic brachial artery-external jugular vein arteriovenous grafts as a novel option for hemodialysis access: A case report

Lei,Wenhui; Lai,Hai-Ping; Xin,Jun

doi:10.3892/etm.2023.12289

Prosthetic brachial artery-external jugular vein arteriovenous grafts as a novel option for hemodialysis access: A case report

Authors:
- Wenhui Lei
- Hai-Ping Lai
- Jun Xin
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Affiliations: Department of Nephrology, Lishui Municipal Central Hospital, Lishui, Zhejiang 323000, P.R. China, Department of Abdominal Surgery, Ganzhou Tumor Hospital, Ganzhou, Jiangxi 341000, P.R. China, Department of Urology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Quanzhou, Fujian 362000, P.R. China
Published online on: November 7, 2023 https://doi.org/10.3892/etm.2023.12289
Article Number: 2

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Abstract

Following the exhaustion of all conventional hemodialysis access options in the upper extremities, a prosthetic arteriovenous loop was performed between the brachial artery (BA) and the external jugular vein (EJV) as a novel access option for hemodialysis in the present case report. During the procedure, a polytetrafluoroethylene graft was anastomosed to the BA and the EJV, and looped on the upper limb. The safety and reliability of BA-EJV access was evaluated by determining the complications, patency and intervention rates. The patient was then followed up for 20 months. The graft became thrombosed 20 months after the placement. There were no complications, such as infection, bleeding or aneurysmal lesions. Overall, the present study demonstrates that hemodialysis via BA-EJV access represents an unusual, yet effective and safe procedure, which may be conducted with acceptable complications and patency rates.

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