CASE REPORT article
Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Graft to Vein Fistula with Partial Thrombosis: A Case Report
Ziming Wan 1
Bo Hu 2
ZhenNan Liao 2
Guoliang Li 3
1. First Affiliated Hospital of Chongqing Medical University, Chongqing, China
2. The First Affiliated Hospital of Jinan University, Guangzhou, China
3. Tibet Autonomous Region People's Hospital, Lhasa, China
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Abstract
Hemodialysis (HD) remains the cornerstone therapy for end-stage renal disease (ESRD), with arteriovenous fistulas (AVFs) generally favored over arteriovenous grafts (AVGs). Nonetheless, AVGs serve as a critical alternative for patients in whom AVF creation is not feasible. AVGs, however, carry risks such as infection, thrombosis, aneurysm formation, steal syndrome, and graft-to-vein fistulas (GVFs). We report the case of a 62-year-old patient with ESRD who developed partial thrombosis secondary to an inadvertent GVF during AVG cannulation. Remarkably, the GVF was preserved as a secondary HD access and remained functional for more than a year without major complications. This case highlights the potential role of GVFs as a viable option in HD access management.
Summary
Keywords
Arteriovenous graft, Graft to vein fistula, Hemodialyis, Percutaneous transluminalangioplasty, vascular access
Received
26 June 2025
Accepted
13 February 2026
Copyright
© 2026 Wan, Hu, Liao and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Ziming Wan; Guoliang Li
Disclaimer
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