A physician reported a case in which following the gore® acuseal vascular graft implant, the patient developed arterial steal.On (b)(6) 2014, a gore® acuseal vascular graft was implanted as a left brachio-brachial forearm loop arteriovenous graft.Four days post implant the patient reported numbness but tolerating it well.On (b)(6) 2014, the patient experienced forearm swelling with low flows in the graft.A fistulogram and balloon angioplasty of the venous anastomosis with a 6mm balloon was performed.The patient had good result and had dialysis successfully thereafter.The patient returned on (b)(6) 2014 with hand pain and neurologic deficit.Axillary artery stenosis was treated on (b)(6) 2014, with a gore® viabahn® endoprosthesis but symptoms did not improve.The graft thrombosed a few days later but due to the worsening arterial steal and risk of hand loss, a decision was made not to salvage it.The patient¿s hand motor dysfunction exists to date, though gradually improving with physical therapy.The physician further reports, "this is an anticipated complication of all accesses, particularly in diabetic patients and these observations may just represent random non-significant events, falling within the accepted complication rates.".
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