Ahmed Arafat

Case report of a thrombosed left brachio-cephalic AVF that could be declotted percutaneously. It highlights the advantages of minimally invasive percutaneous interventions and their repercussions on patient quality of life and general well-being.

Case report of a hand ulcer caused by venous hypertension secondary to a hemodialysis AVF outflow obstruction. Duplex evaluation was repeatedly omitted by three vascular surgeons in favor of CTA, as they diagnosed the case by first impression as a central venous stenosis. Duplex vascular ultrasound is an invaluable tool in the hands of the vascular specialist and can add real time diagnostic information that other static modalities cannot.