Distal digital embolization from a thrombosed aneurysmal hemodialysis arteriovenous fistula: The benefit of a hybrid approach

Hector F. Simosa, Sravani V. Mudumbi, Frank B. Pomposelli, Marc L. Schermerhorn

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Aneurysmal degeneration of a hemodialysis arteriovenous fistula (AVF) is common; however, distal digital embolization from an AVF is extremely rare. Even though the ultimate fate of all arteriovenous hemodialysis access is thrombosis with minimal consequences, dislodgement of thrombus at the proximal anastomosis could lead to ischemia of the distal arterial circulation. We here present a case of a renal transplant patient with a thrombosed aneurysmal AVF who presented with acute digital ischemia successfully treated with combination catheter-directed thrombolysis and open repair. No similar report was found describing this entity treated with this approach. Journal compilation

Original languageEnglish (US)
Pages (from-to)93-96
Number of pages4
JournalSeminars in dialysis
Issue number1
StatePublished - Jan 1 2009

ASJC Scopus subject areas

  • Nephrology

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