WRAPSODY Case Reviews

CLINICAL HISTORY

An 85-year-old male patient on haemodialysis for 15 years with swollen left arm and reduced AV circuit competence. The image below shows a clinically significant subclavian stenosis.

RESULTS

The WRAPSODY demonstrated good apposition (no endoleak). The inflow and outflow showed no impingement on the lumen (device wide open).

Post operatively, the oedema in the patient’s left arm reduced dramatically. The dialysis flow rates improved to enable effective treatment.

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CLINICAL HISTORY

A 42-year-old female patient with ESRD with an history of multiple reinterventions due to recurrent central vein stenosis presented with a dysfunctional left basilic AV fistula with an increasing symptomatic arm swelling due to a subtotal stenosis of the subclavian vein at the junction of the brachiocephalic vein.

RESULTS

The final venogram showed good angiographic result with no complication.

The sheath was removed, and hemostasis was achieved using a purse string suture.

Post operatively, the oedema in the patient’s left arm reduced dramatically. The dialysis flow rates improved to enable effective treatment.

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