{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T07:06:55Z","timestamp":1784531215165,"version":"3.55.0"},"reference-count":5,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Hemodialysis has been provided free of charge by Nepal\u2019s Ministry of Health and Population since 2016, providing services to a growing population of dialysis-dependent patients nationwide. Despite expanded access to free hemodialysis, geographic and socioeconomic barriers delay the timely management of dialysis access problems in Nepal. This leads to frequent presentation with advanced complications, including infection. We present the case of a 33-year-old male patient with an infected AV fistula, whose presentation for definitive evaluation and treatment was delayed by the remote location of his dialysis clinic and the paucity of Vascular Surgeons in Nepal. Findings may have applicability for other geographies and resource-constrained contexts facing similar barriers to maintaining hemodialysis access.<\/jats:p>","DOI":"10.1177\/11297298261415962","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T07:25:29Z","timestamp":1770967529000},"page":"1898-1900","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mycotic pseudoaneurysm of the radial artery following explant of infected radiocephalic fistula"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2535-9322","authenticated-orcid":false,"given":"Swechha","family":"Bhatt","sequence":"first","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Dhulikhel Hospital, Dhulikhel, Kavrepalanchok, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0122-7237","authenticated-orcid":false,"given":"Mandeep","family":"Guragai","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Dhulikhel Hospital, Dhulikhel, Kavrepalanchok, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0625-2076","authenticated-orcid":false,"given":"Sanjay","family":"Sharma","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Dhulikhel Hospital, Dhulikhel, Kavrepalanchok, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7696-5755","authenticated-orcid":false,"given":"Andrew","family":"Edsall","sequence":"additional","affiliation":[{"name":"Gundersen Medical Foundation, La Crosse, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean E","family":"Klinger","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, The Medical College of Wisconsin, Milwaukee WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satish","family":"Vaidya","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Dhulikhel Hospital, Dhulikhel, Kavrepalanchok, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin Man","family":"Karmacharya","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Dhulikhel Hospital, Dhulikhel, Kavrepalanchok, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Shakhnovich","sequence":"additional","affiliation":[{"name":"Gundersen Medical Foundation, La Crosse, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12629"},{"key":"e_1_3_2_3_2","article-title":"Arteriovenous access","volume":"3","author":"MacRae JM","year":"2016","unstructured":"MacRae JM, Dipchand C, Oliver M, et al. Arteriovenous access. Can J Kidney Health Dis 2016; 3: 2054358116669127.","journal-title":"Can J Kidney Health Dis"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2024-7"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2018.10.005"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.4329\/wjr.v7.i5.89"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261415962","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298261415962","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261415962","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T06:48:13Z","timestamp":1784530093000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298261415962"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,12]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/11297298261415962"],"URL":"https:\/\/doi.org\/10.1177\/11297298261415962","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,12]]}}}