| Salvage of a dialysis angioaccess by bypassing a central venous obstruction to the common femoral vein. | |
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MedLine Citation:
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PMID: 19736636 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe the case of a 71 year-old male patient undergoing haemodialysis who presented with severe symptoms of venous hypertension at the left upper extremity due to subclavian and innominate vein obstruction. The patient had a well functioning ispilateral angioaccess. The pain and disabling swelling of the upper extremity developed 12 months after having a radio-cephalic arteriovenous fistula performed and progressively worsened in the last two months. The patient underwent extraanatomic axillo-femoral venous bypass grafting with a 8 mm polytetrafluoroethylene graft to the ispilateral common femoral vein. The postoperative recovery was regular and the patient was discharged 6 days after surgery with a functioning bypass and relief from the venous hypertension symptoms. In this case, surgical bypassing of a central venous obstruction through an extra-anatomical pathway relieved the symptoms of venous hypertension and prolonged the use of the haemodialysis access. |
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Authors:
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G Asciutto; A Mumme; K Ch Asciutto; B Geier |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: VASA. Zeitschrift f??r Gef??sskrankheiten. Journal for vascular diseases Volume: 38 ISSN: 0301-1526 ISO Abbreviation: VASA Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-09-08 Completed Date: 2009-10-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0317051 Medline TA: Vasa Country: Switzerland |
Other Details:
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Languages: eng Pagination: 245-8 Citation Subset: IM |
Affiliation:
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Klinik f??r Gef??sschirurgie, St. Josef Hospital, Ruhruniversit??t Bochum, Germany. hasci@tin.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arteriovenous Shunt, Surgical / adverse effects* Axillary Vein / surgery Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation* / instrumentation Brachiocephalic Veins / radiography Constriction, Pathologic Edema / etiology, surgery Femoral Vein / surgery* Humans Male Phlebography Polytetrafluoroethylene Prosthesis Design Renal Dialysis* Salvage Therapy Subclavian Vein / radiography Treatment Outcome Upper Extremity / blood supply* Vascular Diseases / etiology, physiopathology, radiography, surgery* Venous Pressure |
| Chemical | |
Reg. No./Substance:
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9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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