Iliocaval Fistula - A rare Option for Permanent Vascular Access

Roman E. Kalinin, Igor A. Suchkov, Nina D. Mzhavanadze, Andrey A. Egorov, Vladimir A. Yudin, Andrey V. Budnevsky, Aleksandr I. Zhdanov, Sergey A. Kovalev, Dmitry V. Griaznov, Aleksandr N. Kinshov

 
International Journal of Biomedicine. 2020;10(1):79-81.
DOI: 10.21103/Article10(1)_CR2
Originally published March 15, 2020

Abstract: 

The number of patients receiving maintenance dialysis treatment has been growing in recent years. Unfortunately, the lifetime of PVA is not unlimited, and some patients initially have problems with its formation. Because of these problems, there is a need to develop new methods of forming constant vascular access in this cohort of patients. This case shows the successful surgical approach to forming permanent vascular access in patients who are intravenous drug users and who have post-thrombotic syndrome of most veins, making them unsuitable for creating an arteriovenous fistula.

Keywords: 
permanent vascular access • haemodialysis • continuous ambulatory peritoneal dialysis
References: 
  1. NKF-DOQI clinical practice guidelines for vascular access. National Kidney Foundation-Dialysis Outcomes Quality Initiative. Am J Kidney Dis. 1997;30(4 Suppl 3):S150-91.
  2. Akoh JA, Hakim NS. Preserving function and long-term patency of dialysis access. Ann R Coll Surg Engl. 1999;81(5):339-42.
  3. Gonzalez E, Bajo MA, Carrero JJ, Lindholm B, Grande C, Sánchez-Villanueva R, et al. An increase of plasma advanced oxidation protein products levels is associated with cardiovascular risk in incident peritoneal dialysis patients: a pilot study. Oxid Med Cell Longev. 2015;2015:219569. doi: 10.1155/2015/219569
  4. Kudasov AB, Starosel'tsev SL. [Continuous ambulant peritoneal dialysis as the primary method for treating terminal chronic kidney failure]. I.P. Pavlov Russ Med Biol Herald. 2006;(3):71-4. [Article in Russian].
  5. Kalinin RE, Suchkov IA, Pshennikov AS, Agapov AB. [Evaluation of efficacy and safety of different types of anticoagulant therapy in venous thrombosis]. Novosti Khirurgii. 2015;23(4):416-23. doi:10.18484/2305-0047.2015.4.416. [Article in Russian].
  6. Agapov AB, Suchkov IA, Ryabkov AN. [Direct oral anticoagulants in patients with deep venous thrombosis of lower extremities]. Science of the young (Eruditio Juvenium). 2016; 4(2):147-57. [Article in Russian].
  7. Oleśkowska-Florek W, Połubinska A, Baum E, Matecka M, Pyda M, Pawlaczyk K, Bręborowicz A. Hemodialysis-induced changes in the blood composition affect function of the endothelium. Hemodial Int. 2014;18(3):650-6. doi: 10.1111/hdi.12148.
  8. Murphy GJ, White SA, Knight AJ, Doughman T, Nicholson ML. Long term results of artenovenous fistulas using transposed autologous basilic vein. Br J Surg. 2000;87(6):819-23. doi:10.1046/j.1365-2168.2000.01435.x
  9. Gottmann U, Sadick M, Kleinhuber K, Benck U, Huck K, Krämer BK, Birck R. Central vein stenosis in a dialysis patient: a case report. J Med Case Rep. 2012;6:189. doi: 10.1186/1752-1947-6-189.
  10. Kalinin RE, Suchkov IA, Egorov AA, Nikulina NN. [Endothelial dysfunction in program hemodialysis-dependent patients]. Science of the Young (Eruditio Juvenium. 2019;7(1):79-85. doi:10.23888/HMJ20197179-85. [Article in Russian].
  11. Moisiuk IaG, Beliaev AIu. Permanent vascular access for hemodialysis. Moscow; 2004. [In Russian].
  12. Kalinin RE, Suchkov IA, Egorov AA. [Possibilities of roentgen-endovascular and hybrid correction of permanent vascular access in dialysis-dependent patients]. Science of the Young (Eruditio Juvenium). 2018;6(4):561-8. doi:10.23888/HMJ2018 64561-568. [Article in Russian].
  13. Kalinin RE, Suchkov IA, Egorov AA, Medvedeva OV. [Examples of non-standard reconstructions in hemodialysis patients with permanent vascular access]. Novosti Khirurgii. 2017;25(1):87-92. doi:10.18484/2305-0047.2017.1.87. [Article in Russian].
  14. Kalinin RE, Suchkov IA, Egorov AA. Brachiojugular shunting provides permanent vascular access in occlusion of subclavian veins. Science of the Young (Eruditio Juvenium). 2017;5(3):428-34. [Article in Russian].
  15. Kalinin RE, Suchkov IA, Egorov AA. [Case of non-standard reconstruction of arteriovenous fistula for hemodialysis]. Avicenna Bulletin. 2016;20(2):53-5. doi:10.25005/2074-0581-2016-18-2. [Article in Russian].

Download Article
Received December 7, 2019.
Accepted January 22, 2020.
©2020 International Medical Research and Development Corporation.