Difficult vascular access for hemodialysis in congenital bilateral absence of radial artery and probable VACTERL association: a case report

Anaesthesia, Pain & Intensive Care

article

Wadhah Mahbuba¹  Ghada Kareem² 

[1] Faculty of Medicine, University of Kufa;Department of Surgery, Faculty of Medicine, University of Kufa

关键词: VACTERL;    Abnormalities;    Multiple / classification;    Kidney / abnormalities;    Limb Deformities;    Congenital;    Bilateral absent radial artery;    Hemodialysis;    AV fistula;    Failure;    AV fistula;    Complications;   

DOI  :  10.35975/apic.v26i4.1966

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

Isolated bilateral absence of radial artery in association with other congenital anomalies, together named VACTERL (vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities) is a very rare phenomenon. We report a patient, known to have VACTERL association, and who presented with ESRD. He was on hemodialysis and had been subjected to multiple failed tries at vascular access due to congenital bilateral absence of radial arteries and other vascular anomalies. This case report highlights hemodialysis options in congenital bilateral absence of radial artery and probable VACTERL association showing superiority of arteriovenous fistula despite its accompanying complications.

【 授权许可】

CC BY-NC