Document Detail


Ipsilateral Jugular to Distal Subclavian Vein Transposition to Relieve Central Venous Hypertension in Rescue Vascular Access Surgery: A Surgical Report of 3 Cases.
MedLine Citation:
PMID:  22673549     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Central venous thrombosis may often arise following central venous cannulation for temporary haemodialysis access. Venous thrombosis may be clinically asymptomatic due to the presence of collateral circulation. However, if an arteriovenous (AV) fistula is prepared below the obstructed venous segment, then symptoms may occur. Central venous hypertension interferes with dialysis, compromises limb function and threatens its safety. Percutaneous treatment is mostly used. However, in some cases endovascular treatment may not be as easy and long term patency uncertain.We report our experience on 3 patients on chronic hemodialysis treatment presenting with a patent AV fistula and ipsilateral subclavian vein chronic fibrotic obstruction. They were treated by ipsilateral internal jugular to distal subclavian vein transposition. Two separate surgical incisions were performed to expose the subclavian vein distally to the occlusion and the jugular vein that was distally ligated and transposed. There was no mortality nor significant postoperative complications. Resolution of hypertensive symptoms was achieved within 3-4 weeks in all patients. The AV fistula was used for dialysis treatment starting from the first postoperative day. At follow-up (mean 13 months), there was no recurrence of upper limb venous hypertension.In patients with subclavian occlusion and ipsilateral low flow, patent AV fistula, jugular to distal subclavian vein transposition may prove useful in cases when percutaneous angioplasty is technically not feasible or long term patency is not expected.
Authors:
Ignazioe Acri; Amedeo Carmignani; Giovanni Vazzana; Mafalda Massara; Edvige Acri; Salvatore Lentini; Francesco Spinelli
Related Documents :
10321159 - Cartoid artery calcification in a general dental population: a retrospective study of p...
19672109 - Fusiform aneurysm model in rabbit carotid artery.
21799369 - Validation of image-derived arterial input functions at the femoral artery using 18f-fl...
2187289 - Duplex doppler and spectral flow analysis of racial differences in cerebrovascular athe...
18849329 - Racial differences in central blood pressure and vascular function in young men.
18644289 - Screening for carotid stenosis in patients with ischaemic heart disease.
25404859 - A new coronary artery disease grading system correlates with numerous routine parameter...
6632029 - Improved limb salvage in popliteal artery injuries.
8495469 - Use of half of the palmaz-schatz stent in a stent-related dissection.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-15
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  -     ISSN:  1341-1098     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-6-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Cardiovascular and Thoracic Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Mycotic Left Main Coronary Artery Aneurysm Following Double-Valve Replacement for Active Infective E...
Next Document:  Surgical Management of a Ruptured Pseudoaneurysm Late after Total Arch Replacement with Omentoplasty...