Internal jugular to axillary vein bypass for subclavian vein thrombosis in the setting of brachial arteriovenous fistula

From the Division of Vascular Surgery, Massachusetts General Hospital, Boston.

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Abstract

Placement of central venous catheter is the most common cause of subclavian vein thrombosis. In the setting of a functioning ipsilateral brachial arteriovenous fistula, venous hypertension symptoms may be exacerbated. We report successful decompression of severe venous hypertension in the right arm of a patient whose only access for hemodialysis was a functioning right brachial arteriovenous fistula and in whom proximal subclavian vein occlusion developed from a previous percutaneous dialysis catheter. Transposition of the right internal jugular vein and end-to-side anastomosis to the right axillary vein provided prompt and effective venous outflow, with complete resolution of venous engorgement of the affected limb and preservation of the dialysis fistula. (J VASC SURG 1994;19:939-42.)

Original languageEnglish
Pages (from-to)939-942
Number of pages4
JournalJournal of Vascular Surgery
Volume19
Issue number5
DOIs
StatePublished - 1994

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