Korean J Nephrol.
2006 May;25(3):503-506.
Scalp Edema and Insufficient Maturation of Arteriovenous Fistula Due to Cephalic Vein Variation in Patient with End Stage Renal Disease
- Affiliations
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- 1Division of Nephrology, Department of Internal Medicine, Yonsei University College of Medicine, Institute of Kidney Disease, Seoul, Korea. docbsk@yumc.yonsei.ac.kr
- 2Department of Internal Medicine, Ilsan Hospital, National Health Insurance Corporation, Goyang, Korea.
Abstract
- Vascular access is the prerequisite and mainstay of extra-corporeal renal replacement therapy and its management is central to maintain the health and quality of life of end-stage renal disease (ESRD) patients. Success of maturation of AVF depends on the quality and size of the vessels and anatomic structure. There have been several reports on non-maturation by vascular stenosis or small vascular size after AVF procedure, but reports demonstrating that AVF non-maturation is due to by latent vessel variation are uncommon. We report a rare case of scalp edema and insufficient maturation of AVF due to cephalic vein variation in a 27 year-old female patient with ESRD on hemodialysis. Conclusively, meticulous observation on not only vessels used for AVF but also its proximal connection to other vessels should be considered.
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