Delayed Recanalization of an Acutely Thrombosed Dialysis Arteriovenous Graft to Facilitate Effective Treatment for Perigraft Seroma: A Case Report.

IF 1.1 4区医学 Q3 UROLOGY & NEPHROLOGY

Seminars in Dialysis Pub Date : 2025-09-01 Epub Date: 2025-12-14 DOI:10.1111/sdi.70012

Lihong Zhang, Fan Zhang, Yuzhu Wang, Shen Zhan

引用次数: 0

Abstract

This report describes a novel and effective salvage strategy for managing perigraft seroma complicated by a small-caliber expanded polytetrafluoroethylene arteriovenous graft (AVG). Our patient developed a persistent seroma near the arterial anastomosis following AVG placement. The patient underwent successful seroma removal and delayed graft recanalization after 1 week of spontaneous graft thrombosis, which permitted partial tissue incorporation. The treatment was successful, achieving complete resolution of the seroma and restoration of graft function. The patient has remained free of recurrence for 40 months of follow-up. This approach represents an effective strategy for treating perigraft seromas of hemodialysis grafts.

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延迟再通急性血栓透析动静脉移植物促进有效治疗移植物周围血肿：1例报告。

本报告描述了一种治疗小口径扩张聚四氟乙烯动静脉移植物（AVG）并发移植物周围血肿的新颖有效的抢救策略。我们的病人在AVG放置后在动脉吻合口附近出现了持续的血清肿。患者在自发性移植物血栓形成1周后成功切除血肿并延迟移植物再通，允许部分组织掺入。治疗是成功的，实现了血肿的完全溶解和移植物功能的恢复。患者随访40个月无复发。这种方法是治疗血液透析移植物周围血清肿的有效策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.