Revista de Ciencias Médicas de Pinar del Río
versión ISSN 1561-3194
BENCOMO RODRIGUEZ, Osniel et al. Thrombolysis in acute dysfunction of arteriovenous fistula: a case report. Rev Ciencias Médicas [online]. 2011, vol.15, n.4, pp. 252-259. ISSN 1561-3194.
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.
Palabras llave : RENAL DIALYSIS [mortality]; THROMBOLYTIC THERAPY [classification].