Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis Access
Subclavian and brachio-cephalic vein stenosis or occlusion occurs, most commonly, as an iatrogenic complication of the placement of central venous catheter. This occurrence can cause ipsilateral arm swelling in a newly-created arteriovenous fistula (AVF). Critical central vein stenoses are often suc...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2012-09-01
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| Series: | Proceedings of Singapore Healthcare |
| Online Access: | https://doi.org/10.1177/201010581202100308 |
| _version_ | 1818299467508482048 |
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| author | Kar Wee Koh MBBS Jendana Chanyaputhipong MRCS (Edin), MB MCh BAO (Ireland) Seck Guan Tan FRCS (Glasgow), FAMS |
| author_facet | Kar Wee Koh MBBS Jendana Chanyaputhipong MRCS (Edin), MB MCh BAO (Ireland) Seck Guan Tan FRCS (Glasgow), FAMS |
| author_sort | Kar Wee Koh MBBS |
| collection | DOAJ |
| description | Subclavian and brachio-cephalic vein stenosis or occlusion occurs, most commonly, as an iatrogenic complication of the placement of central venous catheter. This occurrence can cause ipsilateral arm swelling in a newly-created arteriovenous fistula (AVF). Critical central vein stenoses are often successfully managed by endovascular approach; occasionally, complete occlusion with symptomatic severe arm swelling and pain that does not respond to angioplasty requires ligation of the dialysis access. We report successful surgical management of an end-stage-renal-failure (ESRF) patient with symptomatic subclavian vein occlusion refractory to angioplasty in an ipsilateral arm with an existing functional brachio-basilic transposition arteriovenous fistula by performing a basilic to internal jugular vein (IJV) bypass graft, relieving both the arm swelling and salvaging the existing vascular access for future haemodialysis. |
| first_indexed | 2024-12-13T04:51:41Z |
| format | Article |
| id | doaj.art-c26540749e14441d93b32e0aeb8daaf4 |
| institution | Directory Open Access Journal |
| issn | 2010-1058 2059-2329 |
| language | English |
| last_indexed | 2024-12-13T04:51:41Z |
| publishDate | 2012-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Proceedings of Singapore Healthcare |
| spelling | doaj.art-c26540749e14441d93b32e0aeb8daaf42022-12-21T23:59:00ZengSAGE PublishingProceedings of Singapore Healthcare2010-10582059-23292012-09-012110.1177/201010581202100308Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis AccessKar Wee Koh MBBSJendana Chanyaputhipong MRCS (Edin), MB MCh BAO (Ireland)Seck Guan Tan FRCS (Glasgow), FAMSSubclavian and brachio-cephalic vein stenosis or occlusion occurs, most commonly, as an iatrogenic complication of the placement of central venous catheter. This occurrence can cause ipsilateral arm swelling in a newly-created arteriovenous fistula (AVF). Critical central vein stenoses are often successfully managed by endovascular approach; occasionally, complete occlusion with symptomatic severe arm swelling and pain that does not respond to angioplasty requires ligation of the dialysis access. We report successful surgical management of an end-stage-renal-failure (ESRF) patient with symptomatic subclavian vein occlusion refractory to angioplasty in an ipsilateral arm with an existing functional brachio-basilic transposition arteriovenous fistula by performing a basilic to internal jugular vein (IJV) bypass graft, relieving both the arm swelling and salvaging the existing vascular access for future haemodialysis.https://doi.org/10.1177/201010581202100308 |
| spellingShingle | Kar Wee Koh MBBS Jendana Chanyaputhipong MRCS (Edin), MB MCh BAO (Ireland) Seck Guan Tan FRCS (Glasgow), FAMS Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis Access Proceedings of Singapore Healthcare |
| title | Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis Access |
| title_full | Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis Access |
| title_fullStr | Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis Access |
| title_full_unstemmed | Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis Access |
| title_short | Killing Two Birds with One Stone: Subclavian Vein Bypass Graft for Relief of Venous Obstruction and Haemodialysis Access |
| title_sort | killing two birds with one stone subclavian vein bypass graft for relief of venous obstruction and haemodialysis access |
| url | https://doi.org/10.1177/201010581202100308 |
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