{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:55:25Z","timestamp":1793127325442,"version":"4.5.0"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Hainan Provincial Medical and health research project","award":["21A200026"],"award-info":[{"award-number":["21A200026"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Nephrol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>We report a case of a patient who suffered thrombosis of a radial artery-cephalic vein fistula accompanied by aneurysm and a single outflow path of the elbow perforating vein. We performed open surgery combined with Fogarty balloon catheter embolectomy, anastomotic reconstruction and forearm median vein transposition.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>The patient presented with an arteriovenous fistula (AVF) after haemodialysis 5\u00a0years ago. In the process of dialysis, the fistula vein was punctured, resulting in aneurysm, high pressure and difficult haemostasis after needle extraction. AVF occlusion was observed\u00a0on April 12, 2022. We performed a combined open surgery. First, a Fogarty balloon catheter was used to remove the thrombus, and the anastomosis was then reconstructed to restore AVF fistula patency. Finally, forearm median vein transposition was used to establish dual outflow. Postoperative haemodialysis was possible. There are various methods for removing the thrombus in AVF. Here, we report a case in which we performed open surgery combined with Fogarty balloon catheter embolectomy, anastomotic reconstruction and forearm median vein transposition\u00a0to ensure fistula patency.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>We removed a complete reverse \u2018Z\u2019-shaped thrombus of the elbow perforating vein in a haemodialysis fistula. This report provides an effective strategy to manage a high-pressure fistula with single outflow of the elbow perforating vein.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12882-022-02897-2","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T08:06:51Z","timestamp":1659168411000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Managing thrombosis of arteriovenous fistula accompanied by aneurysm and single outflow of elbow perforating vein: a case report"],"prefix":"10.1186","volume":"23","author":[{"given":"Ziqiang","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifen","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zefeng","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongjun","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,30]]},"reference":[{"key":"2897_CR1","doi-asserted-by":"publisher","unstructured":"Staaf K, Fernstrom A, Uhlin F. Cannulation technique and complications in arteriovenous fistulas: a Swedish Renal Registry-based cohort study. BMC Nephrol. 2021. https:\/\/doi.org\/10.1186\/s12882-021-02458-z.","DOI":"10.1186\/s12882-021-02458-z"},{"key":"2897_CR2","doi-asserted-by":"publisher","unstructured":"Ten Berge MG, Yo TI, Kerver A, de Smet AA, Kleinrensink GJ. Perforating Veins: An Anatomical Approach to Arteriovenous Fistula Performance in the Forearm. Eur J Vasc Endovasc Surg. 2011. https:\/\/doi.org\/10.1016\/j.ejvs.2011.03.008.","DOI":"10.1016\/j.ejvs.2011.03.008"},{"key":"2897_CR3","doi-asserted-by":"publisher","unstructured":"Klimach SG, Norris JM. Surgical versus endovascular management of thrombosed autogenous arteriovenous fistulae. Int J Surg. 2014. https:\/\/doi.org\/10.1016\/j.ijsu.2013.12. 017.","DOI":"10.1016\/j.ijsu.2013.12"},{"key":"2897_CR4","doi-asserted-by":"publisher","unstructured":"Tan TL, May KK, Robless PA, Ho P. Outcomes of endovascular intervention for salvage of failing hemodialysis access. Ann Vasc Dis. 2011. https:\/\/doi.org\/10.3400\/avd.oa.10.00009.","DOI":"10.3400\/avd.oa.10.00009"},{"key":"2897_CR5","doi-asserted-by":"publisher","unstructured":"Fan SS, Chen CW, Lu KC, Mao HC, Chen MP, Chou CL. A comparison of efficacy of endovascular versus surgical repair for the treatment of arteriovenous fistula stenosis in Taiwan. J Vasc Access. 2017. https:\/\/doi.org\/10.5301\/jva.5000669.","DOI":"10.5301\/jva.5000669"},{"key":"2897_CR6","doi-asserted-by":"publisher","unstructured":"Miyamoto K, Matsuoka N, Ono S, Nakamura S, Nagaya K, Asai N, Nishikawa K, Ito Y, Imai H. A patient with arteriovenous fistula of simultaneously performed anastoplasty for excessive blood flow and graft bypass to secure an outflow tract. J Vasc Access. 2019. https:\/\/doi.org\/10.1177\/1129729818763483.","DOI":"10.1177\/1129729818763483"}],"container-title":["BMC Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12882-022-02897-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12882-022-02897-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12882-022-02897-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T08:10:02Z","timestamp":1659168602000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcnephrol.biomedcentral.com\/articles\/10.1186\/s12882-022-02897-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,30]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["2897"],"URL":"https:\/\/doi.org\/10.1186\/s12882-022-02897-2","relation":{},"ISSN":["1471-2369"],"issn-type":[{"value":"1471-2369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,30]]},"assertion":[{"value":"3 May 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the First Affiliated Hospital of Hainan Medical University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent was obtained from the patient for publication of this Case Report and any accompanying images.\u00a0Written informed consent for publication of their clinical details and\/or clinical images was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"271"}}