Abstract：
A 59 year-old man was admitted as his left antecubital arterio-venous fistula was thrombosed, and hemodialysis could not be succeeded for the last two sessions. It was a brachio-basilic fistula without transposition, which also required thrombectomy 8 months ago, and had been created 18 months before. He had multiple catheter insertions during the period of 6 years. Following the failed catheter insertions from both jugular and femoral veins, an ultrasound-guided venography via the left popliteal vein demonstrated the intact left popliteal and femoral vein with well-developed collaterals at the level of occluded left iliac vein. A temporary hemodialysis catheter was placed through the popliteal vein with an antegrade manner under ultrasound guidance in prone position, which effectively worked during hemodialysis sessions afterwards. Transposition of basilic vein was performed. Following the wound recovery, arterialized basilic vein has started to be used effectively for hemodialysis, and the popliteal catheter was displaced.
摘要：
一名59岁男子因左肘前动静脉瘘血栓形成而入院,在过去的两个疗程中，血液透析都无法成功。这是一个没有移位的腕臂-基底瘘管，8个月前也需要进行血栓切除术，并且是在18个月前创建的。在6年期间，他有多次导管插入。颈静脉和股静脉导管插入失败后，超声引导下通过左po静脉进行的静脉造影显示，完整的左po和股静脉以及在闭塞的左静脉水平上发达的络脉。在俯卧位的超声引导下顺行方式通过the静脉放置临时血液透析导管，在之后的血液透析期间有效地工作。进行贵宾静脉转位。伤口恢复后,动脉化的贵重静脉已经开始有效地用于血液透析，并使the导管移位。
