Patents with end-stage renal disease depend on the patency of their dialysis access. As these patients have only finite access options, and no access lasts indefinitely, it is imperative that each access should be maintained for as long as possible. This report describes a case of salvage of an upper arm fistula by repeated angioplasty of the collateral veins after the main out flow vein was occluded and could not be recanalyzed.
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