NIKO AZHARI HIDAYAT commented on presentation Creation of percutaneous arteriovenous fistula in a complex case.
CiDA: Percutaneous AV fistula between proximal radial artery and deep communicating vein
We are delighted to offer to our Vascupedians the opportunity to watch again the first live case of pAVF creation in the most important vascular access meeting in the world: CiDA. In this completely unedited video Dr Mallios creates a percutaneous AVF with the Ellipsys Vascular Access System (Avenu Medical Juan Capistrano CA USA) between the proximal radial artery and the deep communicating vein at the level of proximal forearm.
EndoAVF creation with the Ellipsys Vascular Access System
Creation of a percutaneous AVF -endoAVF- with the Ellipsys Vascular Access System (Avenu Medical, San Juan Capistrano, CA)
After puncture of a superficial vein at the elbow level and under ultrasound visualisation, the needle is navigated through the deep communicating vein and a direct puncture of the proximal radial artery is performed. The Ellipsys catheter allows the creation of a permanent anastomosis through tissue fusion. An immediate PTA of the anastomosis accelerates maturation
Asymptomatic carotid artery disease
Age: 72 years old
Comorbidity: Arterial hypertension, hypercholesterinemia, previous smoker
Previous operations: None
Vascular Imaging of the left internal carotid artery: Duplex ultrasound with peak systolic velocity (PSV)> 230 cm/sec
The AV access salvage procedure
Age: 75 years old
Comorbidity: End-Stage Renal Disease, Diabetes, Arterial hypertension, Dyslipidemia, on hemodialysis in the last 5 years
Symptoms: Acute occlusion of a surgically created left-sided brachial cephalic AV fistula