Document Detail


Bypass graft to the contralateral internal jugular vein for venous outflow obstruction of a functioning hemodialysis access fistula.
MedLine Citation:
PMID:  11013047     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As survival among patients with renal failure improves, vascular access becomes more difficult, and preservation of functioning access increases in importance. Subclavian vein thrombosis associated with a distal arteriovenous fistula can result in massive and debilitating swelling of the affected extremity. We describe a novel crossover bypass grafting procedure to the contralateral internal jugular vein in a patient with a thrombosed internal jugular and subclavian vein. This procedure resulted in preservation of the functioning arteriovenous fistula and resolution of the symptoms. Unlike previously described crossover procedures to the contralateral basilic or axillary veins, this bypass graft has the added benefit of not obviating future fistula creation in that extremity.
Authors:
J L Myers; D Mukherjee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  32     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-11-21     Completed Date:  2000-11-21     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  818-20     Citation Subset:  IM    
Affiliation:
Georgetown University Medical Center, Washington, DC, USA.
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MeSH Terms
Descriptor/Qualifier:
Arm
Arteriovenous Shunt, Surgical*
Humans
Jugular Veins*
Male
Middle Aged
Saphenous Vein / transplantation*
Venous Thrombosis / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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