Use of the Internal Mammary Vein for Access Outflow in a Hemodialysis Fistula

Vascular ◽  
2007 ◽  
Vol 15 (3) ◽  
pp. 172-175 ◽  
Author(s):  
Gregory J. Jaffers ◽  
Charles Reiter ◽  
Clifford J. Buckley
Keyword(s):  
Magnetic Resonance Imaging ◽  
Axillary Artery ◽  
Innominate Vein ◽  
Hemodialysis Access ◽  
Basilic Vein ◽  
Resonance Imaging ◽  
Jugular Veins ◽  
Internal Mammary ◽  
Left Innominate Vein ◽  
Left Axillary Artery

A patient with occlusion of multiple central veins from both dialysis and nondialysis catheters required permanent access for hemodialysis. Magnetic resonance imaging showed a patent left innominate vein. He underwent creation of a left axillary artery to internal mammary vein transposition fistula using the basilic vein from his right arm. The fistula has required one revision for outflow stenosis and one for aneurysmal degeneration. It continues to function well 3 years after placement. The internal mammary vein is an option for outflow when permanent hemodialysis access has failed in the presence of a patent innominate vein with occluded or severely stenotic ipsilateral subclavian and jugular veins.

Untersuchung retrosternaler Lymphknotenmetastasen beim Mammakarzinom: Lymphszintigraphie und Kernspintomographie

1991 ◽  
Vol 30 (06) ◽  
pp. 279-282
Author(s):  
A. Linden ◽  
Karola Reusch ◽  
Kamilla Smolarz ◽  
M. Jungehülsing ◽  
P. Theissen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Tnm Staging ◽  
Resonance Imaging ◽  
Area 5 ◽  
Internal Mammary ◽  
Node Metastases ◽  
Magnetic Resonance Imaging Mri

In 21 patients with breast cancer (pT1–4, N0, M0) internal mammary lymphoscintigraphy and magnetic resonance imaging (MRI) were performed to evaluate retrosternal lymph node metastases. In 6 patients normal findings of lymphoscintigraphy were confirmed by MRI. In the 15 patients with focal defects seen by lymphoscintigraphy no lymph nodes were found by MRI in 5 in the corresponding area, 5 showed normal-sized lymph nodes (<1 cm) and 5 enlarged lymph nodes indicating metastatic infiltration. In addition to internal mammary lymphoscintigraphy MRI may offer the possibility to improve TNM staging in patients with breast cancer.

Anatomical evaluation of the internal mammary vessels based on magnetic resonance imaging (MRI)

2012 ◽  
Vol 65 (10) ◽  
pp. 1363-1367 ◽  
Author(s):  
Stefania Tuinder ◽  
Rieky Dikmans ◽  
Robert-Jan Schipper ◽  
Marc Lobbes ◽  
Carla Boetes ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Internal Mammary ◽  
Magnetic Resonance Imaging Mri ◽  
Internal Mammary Vessels

scholarly journals Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Vikas Deep Goyal ◽  
Vipin Sharma ◽  
Sandeep Kalia ◽  
Manik Sehgal
Keyword(s):  
Upper Limb ◽  
Vein Graft ◽  
Proximal Humerus ◽  
Surgical Intervention ◽  
Axillary Artery ◽  
Basilic Vein ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Humerus Fractures ◽  
Left Axillary Artery

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.

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