A Case of Saphenofemoral Arteriovenous Fistula for Chronic Hemodialysis with Darier’s Disease

Abstract

A 60-year-old man with chronic renal failure was admitted our department with infection of prosthetic loop access in his right forearm. After the infection was cured, we created new blood access. There was a possibility of a relapse of the infection in the right upper limb. His left brachial artery was occluded. There was a rash of Darier’s disease on his trunk, axilla and upper arm. Therefore, we created a loop access using saphenous vein grft at the thigh. During the course, endovascular therapy was necessary. 14 months have passed after the surgery, he died, but was able to perform the dialysis until then.