Endovascular Treatment for Vascular Access Venous Hypertension with Complicated Venous Drainage Routes in a Hemodialysis Patient: A Case Report

Yusuke Hori; Tetsuya Nomura; Issei Ota; Satoshi Tasaka; Kenshi Ono; Yu Sakaue; Naotoshi Wada; Natsuya Keira; Tetsuya Tatsumi

doi:10.12659/AJCR.927625

25 February 2021 : Case report Japan

Endovascular Treatment for Vascular Access Venous Hypertension with Complicated Venous Drainage Routes in a Hemodialysis Patient: A Case Report

Unusual clinical course, Unusual or unexpected effect of treatment

Yusuke Hori^1BCDEF, Tetsuya Nomura^1AF*, Issei Ota^1F, Satoshi Tasaka^1F, Kenshi Ono^1F, Yu Sakaue^1F, Naotoshi Wada^1F, Natsuya Keira^1F, Tetsuya Tatsumi^1AFG

DOI: 10.12659/AJCR.927625

Am J Case Rep 2021; 22:e927625

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Figure 3. (A) Good vascular patency with favorable blood flow in the final digital subtraction angiography. (B) A magnified image of the treated lesion. Varices-like formations were observed (arrowheads). (C–E) Cross-sectional intravascular ultrasound images after stent implantation. These C–E images correspond to the cross-sections in Figure 3B. An enlarged luminal space spreading externally beyond the stent’s luminal area (arrowheads). (F) Simultaneous measurement of blood pressure in the brachial artery and the vascular access vein after the endovascular treatment.

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Endovascular Treatment for Vascular Access Venous Hypertension with Complicated Venous Drainage Routes in a Hemodialysis Patient: A Case Report

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