2020 Volume 29 Issue 1 Pages 57-59
The patient was a 60-year-old man, who had undergone dialysis using a vascular access (VA) created at the left wrist with the radial artery and the cephalic vein, was referred to our hospital with VA occlusion in the forearm and difficult dialysis. Urgent vascular access intervention therapy (VAIVT) was performed on the same day. A puncture was performed in the vein near the elbow and an attempt was made to pass the guide wire in a direction retrograde to the blood flow, but the guide wire could not pass through the calcified occluded site close to the anastomosis. Here we report a case where VAIVT was completed by puncturing the anastomosis and a pull-through procedure.
