High Flow Arterio-Venous Fistula Closure with Amplatzer Vascular Plug in with High Cardiac Output Failure Patient with CKD

Background: The Amplatzer Vascular Plug (AVP) is a cylindrical plug made of self-expanding nitinol wire mesh with precise delivery control, which can be used for a variety of vascular pathologies. An AVP is an ideal vascular occlusion device particularly in high-flow vessels, where there is high risk of migration and systemic embolization with traditional occlusion devices. Method(s): 20 year old,young male, recently diagnosed chronic kidney diesase presented with palpitation, breathlessness and chest pain. We present a case where through tranfemoral approach, An amplatzer vascular plug is deployed at the site of a –v fistula with precise delivery and complete occlusion of the fistula. Result(s): Succesful closure of high flow a-v fistula causing high flow cardiac output failure in a chronic kidney disease patient resulting in improved signs and symptoms with maintained distal circulation. Conclusion(s): Vascular occlusion of hemodialysis fistulas using an Amplatzer vascular plug has recently been described only by interventional vascular radiologists. This as a better option than surgical ligation or coils with reduced hospital stay and associted morbidity.

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Artikel online veröffentlicht:
11. Mai 2021