DFW Vascular

This is a case of a 55 y/o dialysis patient new to our practice who presented with a clotted dialysis access that was considered not treatable and received a femoral dialysis catheter for dialysis at an important medical center in Dallas. We were able to discover the culprit lesion, an occluded left thoracic vein stent (Brachiocephalic vein). We performed thrombolysis of the dialysis graft and recanalization/restenting of the thoracic vein stent restoring the function of the dialysis access. The procedure was performed at our endovascular angiosuite in Duncanville, Texas. The patient went home after the procedure.

This week has been about outpatient treatment of central vein stenosis in dialysis patients. It causes disabling arm edema and inadequate dialysis. These patients were treated at our office based outpatient endovascular suite under local anesthesia and sedation and were discharged to home the same day of the procedure!

We finished the year with 3 publications, and two more to come, to support our expertise in the treatment of complex venous occlusions to maintain the function of dialysis access in patients on hemodialysis! We are one of the few vascular groups in North Texas that provides complete care of patient's dialysis access: surgical creation of vascular access, evaluation and maintenance of function in our office based angiosuite, and open vascular and endovascular treatment of complex venous complications!