Arteriovenous Thigh Graft Cannulated from Contralateral Side

Abstract

In arteriovenous graft cases with severe stenosis of the venous anastomosis, it may be very difficult to pass a guidewire across the site. Frequently, the use of a vascular catheter to stiffen the wire and direct its tip leads to success. However, there are instances in which even after multiple attempts, the stenotic lesion cannot be crossed. In these cases, advancing the guidewire from the opposite direction may solve the problem. This chapter discusses the case of a patient with left thigh graft with stenosis at the venous anastomosis. In order to treat the lesion, the site had to be crossed in a retrograde direction.