Fistula Wellness: Left Radio-Cephalic Fistuloplasty

 Rescuing Blood Access in a Chronic Kidney Disease Patient

Patient Background:

  • Age: 45 years
  • Medical Condition: Chronic Kidney Disease


A 45-year-old woman, known to have chronic kidney disease, came to us with a concerning issue related to her vascular access for dialysis. Her left radiocephalic arteriovenous (A-V) fistula, a crucial connection for her dialysis treatment, was not working properly.

Clinical Examination:

Upon examination, we discovered two significant problems:

  1. Perianastomotic Stenosis: There was a long segment of narrowing near the connection point of the fistula.
  2. Draining Vein Thrombosis: A blood clot had formed in the vein that carries blood away from the fistula.

Treatment Plan:

After a thorough evaluation, we decided to perform a fistuloplasty to address these issues. This procedure was completed on a day-care basis, allowing the patient to return home the same day.


The patient has been diligently attending follow-up appointments over the past two months. We are pleased to report that her fistula is now functioning exceptionally well, without any complications.

This case highlights the importance of early intervention and specialized care in managing vascular access problems in patients with chronic kidney disease. We are grateful for the opportunity to contribute to her improved quality of life.


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