科研之友
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摘要
chronic renal insufficiency (cri) has high prevalence and the majority of the patients are in hemodialysis program and, then, they need a vascular access. arteriovenous fistulas (avf) are the more indicated accesses and have a long term use. even in cases of complications, the salvage of theses accesses must be tried. researches of literature show the possibility of access salvage of afv%26apos;s, even in a long time after the complication. the repair of thepresent access must always be tried, avoiding the depletion of the venous system. this study is a case report of a 69 years-old female patient with cri presenting thrombosis of a brachial-cefalic afv with drainage to basilic vein by collateral branches, which maturated that vein. basilic vein was used on the access repair, avoiding catheter use.
