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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2021  |  Volume : 32  |  Issue : 1  |  Page : 236-239
Covered Stents for Cephalic Arch Stenosis


1 Sierra Nevada Nephrology Consultant; Department of Medicine, University of Nevada Reno School of Medicine, Reno, NV, USA
2 Department of Nephrology and Hypertension, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University; Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH, USA

Correspondence Address:
Mukesh Sharma
Sierra Nevada Nephrology Consultant, Reno, NV and University of Nevada Reno School of Medicine, Reno, NV
USA
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DOI: 10.4103/1319-2442.318531

PMID: 34145138

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A functional arteriovenous access is required to provide hemodialysis, which remains the most commonly used one for renal replacement therapy worldwide. In the upper arm, a brachiocephalic arteriovenous fistula is created by surgically joining the cephalic vein and brachial artery at the elbow. The outflow segment of the cephalic vein near the shoulder is called the cephalic arch. Due to its anatomical location, the cephalic arch segment is prone to developing stenosis resulting in access dysfunction and thrombosis. The management strategy to treat cephalic arch stenosis (CAS) remains a clinical challenge. We report a case of severe CAS treated successfully with endovascular therapy.


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