Thrombolysis in acute dysfunction of arteriovenous fistula: a case report

Authors

  • Osniel Bencomo Rodríguez Especialista de Primer Grado en Nefrología. Máster en enfermedades infecciosas. Asistente. Hospital General "Augusto César Sandino". Sandino.
  • Orosmán O. Cuesta Panaco Especialista de Primer Grado en Nefrología. Máster en urgencias médicas en APS. Instructor. Hospital General "Comandante Pinares". San Cristobal.
  • Juan Miguel Rubio Cala Especialista de Primer Grado en Nefrología. Máster en urgencias médicas en APS. Asistente. Hospital General "Augusto Cesar Sandino". Sandino.
  • Nadienka Rodríguez Ramos Especialista de Primer Grado en Nefrología. Asistente. Hospital General "Augusto Cesar Sandino". Sandino.
  • Danay Santalla Rodríguez Licenciada en laboratorio clínico. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Keywords:

RENAL DIALYSIS/ mortality, THROMBOLYTIC THERAPY/classification.

Abstract

Chronic renal failure represents a public health problem all over the world. Hemodialysis is the most frequent modality of treatment in terminal stage patients. The achievement of a good vascular approach is the key to obtain proper levels of renal clearance. The thrombosis of the fistula is the major complication of vascular access. Permeability recovery of thrombosed vascular access to obtain an adequate flow to an accurate Hemodialysis together with the detection of possible underlying causes of thrombosis, mainly stenosis, and then to correct it, should be the basic objective when treating this complication. A case presenting acute dysfunction of Arteriovenous Fistula to carry out Hemodialysis was reported at «Agusto Cesar Sandino» General Hospital. A successful rescue thrombolysis with recombinant streptokinase was performed, explaining the treatment and dosage used without complications. An adequate and rapid diagnosis is very useful to carry out the procedure in order to achieve satisfactory results.

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References

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Published

2011-12-23

How to Cite

1.
Bencomo Rodríguez O, Cuesta Panaco OO, Rubio Cala JM, Rodríguez Ramos N, Santalla Rodríguez D. Thrombolysis in acute dysfunction of arteriovenous fistula: a case report. Rev Ciencias Médicas [Internet]. 2011 Dec. 23 [cited 2025 Aug. 29];15(4):252-9. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/853

Issue

Vol. 15 No. 4 (2011)

Section

CASE REPORTS

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