Upper extremity central venous obstruction in hemodialysis patients: treatment with Wallstents.

Radiology ◽  
1997 ◽  
Vol 204 (2) ◽  
pp. 343-348 ◽  
Author(s):  
T M Vesely ◽  
D M Hovsepian ◽  
T K Pilgram ◽  
D W Coyne ◽  
S Shenoy
Keyword(s):  
Upper Extremity ◽  
Hemodialysis Patients ◽  
Venous Obstruction ◽  
Central Venous ◽  
Central Venous Obstruction

Management of Upper Extremity Central Venous Obstruction Using Interventional Radiology

1998 ◽  
Vol 12 (3) ◽  
pp. 202-206 ◽  
Author(s):  
Peter G. Kalman ◽  
Thomas F. Lindsay ◽  
Kim Clarke ◽  
Kenneth W. Sniderman ◽  
Leslie Vanderburgh
Keyword(s):  
Interventional Radiology ◽  
Upper Extremity ◽  
Venous Obstruction ◽  
Central Venous ◽  
Central Venous Obstruction

Salvage of a dialysis angioaccess by bypassing a central venous obstruction to the common femoral vein

VASA ◽  
2009 ◽  
Vol 38 (3) ◽  
pp. 245-248 ◽  
Author(s):  
Asciutto ◽  
Mumme ◽  
Asciutto ◽  
Geier
Keyword(s):  
Upper Extremity ◽  
Femoral Vein ◽  
Postoperative Recovery ◽  
Venous Hypertension ◽  
Venous Obstruction ◽  
Central Venous ◽  
Venous Bypass ◽  
Common Femoral Vein ◽  
The Common ◽  
Central Venous Obstruction

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.

Brachio-azygos transthoracic arteriovenous grafts for hemodialysis patients with bilateral central venous obstruction: A small case series

2021 ◽  
pp. 112972982110585
Author(s):  
Dan Song ◽  
Young Woo Park
Keyword(s):  
Lower Extremity ◽  
Vascular Access ◽  
Median Sternotomy ◽  
Case Series ◽  
Hemodialysis Patients ◽  
Arteriovenous Graft ◽  
Venous Obstruction ◽  
Central Venous ◽  
Arteriovenous Grafts ◽  
Central Venous Obstruction

Background: It is difficult to find a reliable outflow vein for vascular access in hemodialysis patients with bilateral central venous obstruction. The lower extremity veins are currently used as the most common alternative veins to make a new vascular access. However, in patients not amenable to make lower extremity access, intrathoracic vein should be considered as an outflow vein, but there are limitations in its use due to postoperative complications. Methods: We introduce a series of cases that underwent arteriovenous graft operation using an intrathoracic vein, the azygos arch, as an outflow vein. Brachio-azygos transthoracic arteriovenous graft is a surgical procedure that anastomoses the azygos arch and the brachial artery with 7 mm ringed polytetrafluoroethylene graft via lateral thoracotomy without median sternotomy. Results: The chest tubes of the patients were removed on the third postoperative day and they discharged within a week. About 1 month later, hemodialysis was initiated through the BATAVG, and it has been used without access dysfunction. Conclusion: Brachio-azygos transthoracic arteriovenous grafts were performed using the azygos arches without major complications. The azygos arch can be a good alternative outflow vein to make a new vascular access for hemodialysis patients with bilateral central venous obstruction.

Central Venous Obstruction in Hemodialysis Patients: The Usefulness of Percutaneous Treatment

2002 ◽  
Vol 46 (4) ◽  
pp. 343
Author(s):  
Cheol Young Kim ◽  
Dong Erk Goo ◽  
Dae Ho Kim ◽  
Hyun Suk Hong ◽  
Hae Kyoung Lee ◽  
...  
Keyword(s):  
Percutaneous Treatment ◽  
Hemodialysis Patients ◽  
Venous Obstruction ◽  
Central Venous ◽  
Central Venous Obstruction
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