Ask Dr. Z

Hi Dr. Z, can't wait for this year's seminar! Can we please have several case studies involving AV grafts in the legs? I need help with the following: Graft is accessed at the upper thigh on the arterial side of the graft in an antegrade direction. Contrast was injected and refluxed to the arterial anastomosis. There is narrowing at the arterial anastomosis and irregularity of the arterial side of the graft. There is also mild narrowing on the venous side. It is elected to perform angioplasty of the venous side of the graft and at the arterial anastomosis. A second access is obtained and the arterial anastomsis and the femoral artery slightly above the arterial anastomsis were dilated. A cutting balloon was then used to dilate the venous side of the graft and the portion of the graft at the transverse portion. Thank you in advance.