Document Detail


Surgical management of subclavian and axillary vein thrombosis in patients with a functioning arteriovenous fistula.
MedLine Citation:
PMID:  3726757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Until recently, secondary thrombosis of the deep veins of the upper extremity was rarely encountered. The expanding use of the subclavian vein as a route to the central circulation has increased its occurrence, but symptoms are uncommon. Patients on hemodialysis with a functioning arteriovenous fistula become symptomatic with venous hypertension and swelling. Treatment becomes necessary, and fistula ligation is usually recommended; however, this renders the extremity unsuitable for a future life-sustaining access. Patency of grafts in the venous system has been accomplished with a temporary arteriovenous fistula. In six patients with chronic renal failure and a functioning arteriovenous fistula, a polytetrafluoroethylene graft was used to replace or bypass the obstructed vein. Symptoms resolved, and the fistula was preserved in three of the six patients for 1 to 3 years.
Authors:
C B Currier; S Widder; A Ali; E Kuusisto; A Sidawy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  100     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1986 Jul 
Date Detail:
Created Date:  1986-08-05     Completed Date:  1986-08-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  25-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arteriovenous Shunt, Surgical
Axillary Vein / surgery*
Female
Humans
Kidney Failure, Chronic / complications
Male
Middle Aged
Subclavian Vein / surgery*
Thrombophlebitis / complications,  surgery*

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


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