Left radiocephalic dialysis fistula dysfunction
The clinic’s case account describes a 45-year-old woman with chronic kidney disease whose left radiocephalic arteriovenous (AV) fistula was not providing adequate blood flow for dialysis. An AV fistula is the surgically created artery-to-vein connection used for haemodialysis access.
Findings affecting the access
Assessment identified a long segment of narrowing near the artery-to-vein connection, called perianastomotic stenosis. The report also describes thrombosis in the draining vein. Both problems can compromise access function and require coordinated review with the dialysis team.
Fistuloplasty and access treatment
A fistuloplasty was recommended to widen the narrowed segment, with treatment of the associated clot problem as needed. The original report states that the procedure was performed on an outpatient basis and the patient returned home the same day. This does not mean that every thrombosed fistula can be managed in the same way.
Recorded follow-up
At the two-month follow-up described in the account, fistula function and blood flow had improved, with no complications reported during that interval. Longer-term access surveillance remains important because narrowing can recur.
When to request dialysis access review
Report poor dialysis flow, difficult needle placement, prolonged bleeding, arm swelling or a change in the fistula’s usual vibration. A suddenly absent vibration needs prompt review. Do not wait for the next routine appointment if access function changes abruptly.
For assessment in Vijayawada, bring dialysis flow records, previous procedure reports and your medication list. Read our fistuloplasty and dialysis access guide or arrange a consultation.
