Female patient with Brachio-Basilic forearm loop AVG for 2 years. Presented with thrombosed AVG and USS shows disintegrated wall and thrombosed partial segment at the disintegrated part with history of occasional clotting during needling.
What would be your assessment and management plan please
What would be your assessment and management plan
I will examine the patient if there’s thrill or not , skin ulcers or not , venous hypertension.
then I will prepare the patient for trial of thrombectomy, excision and replacement of the disintegrated part, and possibility of angioplasty to repair possible stenosis
What would be your assessment and management plan
I will examine the patient if there’s thrill or not , skin ulcers or not , venous hypertension.
then I will prepare the patient for trial of thrombectomy, excision and replacement of the disintegrated part, and possibility of angioplasty to repair possible stenosis.
Very good approach, thanks
Trial thrombectomy and replacement of dissentegrated graft if no signs of infection
Very good, I would just add considering on table imaging to detect any underlying distal stenosis or cause of thrombosis