A new technique for treating seroma following arteriovenous graft surgery

Abstract

Seroma is a relatively uncommon complication following arteriovenous graft (AVG) procedures, and it is typically managed through conventional methods such as limb elevation, far-infrared irradiation, and ultrasound-guided puncture drainage. We report the case of a 51-year-old hemodialysis patient who was admitted due to persistent swelling at the anastomosis site of a left upper limb AVG for 3 months. Upon evaluation, the patient was diagnosed with a left AVG arterial end seroma. In response to this clinical problem, we propose an innovative treatment strategy. Initially, compression was applied to the AVG to reduce swelling. Subsequently, temporary dialysis access was established to meet the patient’s ongoing dialysis needs, while the timing of percutaneous transluminal angioplasty (PTA) intervention was carefully considered. Following the implementation of this novel approach, the patient exhibited significant recovery in AVG function, with no recurrence of seroma swelling noted to date. This case highlights the potential for alternative therapeutic strategies in managing seromas associated with AVG, suggesting a shift toward more individualized treatment protocols.