Rupture of a true brachial artery aneurysm in a kidney transplant patient after arteriovenous fistula ligation: A rare presentation of an unusual disease

Abstract

https://doi.org/10.1177/1129729818776884 The Journal of Vascular Access 2019, Vol. 20(1) 107 –108 © The Author(s) 2018 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/1 29729818776900 journals.sagepub.com/home/jva Here, we present the case of a 52-year-old male with end-stage renal disease and a history of multiple accesses including catheters, grafts, and arteriovenous (AV) fistulae. Past surgical history included a kidney transplant that was rejected. He was admitted because of non-tunneled hemodialysis catheter infection. Upon admission, the catheter was removed, and a new permanent cuffed catheter was intentionally inserted in the azygos vein (Figure 1) because of the complete obstruction of the superior vena cava. He has been receiving routine hemodialysis through the catheter for approximately 4 months. In conclusion, a hemodialysis CVC can be inserted into azygos vein because of malposition, but in specific cases, such as the complete obstruction of the superior vena cava where the azygos vein is dilated because of collateral blood flow, it can be used for obtaining a valid access to the circulation with uncomplicated catheter function. The main aim of catheterization is the successful hemodialysis. Declaration of conflicting interests