Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction
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| Format: | Artículo científico |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular
2014
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| _version_ | 1876444034749169664 |
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| author | Felipe Jose Skupien |
| author_facet | Felipe Jose Skupien |
| contents | Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction Felipe Jose Skupien Ricardo Zanetti Gomes Emerson Hideyoshi Shimada Rafael Inacio Brandao Suellen Vienscoski Skupien Medicina venous bypass exotic vein graft venous transposition Arteriovenous fistula central venous obstruction It is known that stenosis or central venous obstruction affects 20 to 50% of patients who undergo placement of catheters in central veins. For patients who are given hemodialysis via upper limbs, this problem causes debilitating symptoms and increases the risk of loss of hemodialysis access. We report an atypical case of treatment of a dialysis patient with multiple comorbidities, severe swelling and pain in the right upper limb (RUL), few alternative sites for hemodialysis vascular access, a functioning brachiobasilic fistula in the RUL and severe venous hypertension in the same limb, secondary to central vein occlusion of the internal jugular vein and right brachiocephalic trunk. The alternative surgical treatment chosen was to transpose the RUL cephalic vein, forming a venous necklace at the anterior cervical region, bypassing the site of venous occlusion. In order to achieve this, we dissected the cephalic vein in the right arm to its junction with the axillary vein, devalved the cephalic vein and anastomosed it to the contralateral external jugular vein, providing venous drainage to the RUL, alleviating symptoms of venous hypertension and preserving function of the brachiobasilic fistula. 2014 artículo científico 1677-5449 https://www.redalyc.org/articulo.oa?id=245030640013 en http://www.redalyc.org/revista.oa?id=2450 Jornal Vascular Brasileiro application/pdf Sociedade Brasileira de Angiologia e de Cirurgia Vascular Jornal Vascular Brasileiro (Brasil) Num.1 Vol.13 |
| format | Artículo científico |
| id | redalyc_245030640013 |
| institution | Redalyc |
| language | en |
| publishDate | 2014 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular |
| spellingShingle | Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction Felipe Jose Skupien Medicina venous bypass exotic vein graft venous transposition Arteriovenous fistula central venous obstruction Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction Felipe Jose Skupien Ricardo Zanetti Gomes Emerson Hideyoshi Shimada Rafael Inacio Brandao Suellen Vienscoski Skupien Medicina venous bypass exotic vein graft venous transposition Arteriovenous fistula central venous obstruction It is known that stenosis or central venous obstruction affects 20 to 50% of patients who undergo placement of catheters in central veins. For patients who are given hemodialysis via upper limbs, this problem causes debilitating symptoms and increases the risk of loss of hemodialysis access. We report an atypical case of treatment of a dialysis patient with multiple comorbidities, severe swelling and pain in the right upper limb (RUL), few alternative sites for hemodialysis vascular access, a functioning brachiobasilic fistula in the RUL and severe venous hypertension in the same limb, secondary to central vein occlusion of the internal jugular vein and right brachiocephalic trunk. The alternative surgical treatment chosen was to transpose the RUL cephalic vein, forming a venous necklace at the anterior cervical region, bypassing the site of venous occlusion. In order to achieve this, we dissected the cephalic vein in the right arm to its junction with the axillary vein, devalved the cephalic vein and anastomosed it to the contralateral external jugular vein, providing venous drainage to the RUL, alleviating symptoms of venous hypertension and preserving function of the brachiobasilic fistula. 2014 artículo científico 1677-5449 https://www.redalyc.org/articulo.oa?id=245030640013 en http://www.redalyc.org/revista.oa?id=2450 Jornal Vascular Brasileiro application/pdf Sociedade Brasileira de Angiologia e de Cirurgia Vascular Jornal Vascular Brasileiro (Brasil) Num.1 Vol.13 |
| title | Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction |
| topic | Medicina venous bypass exotic vein graft venous transposition Arteriovenous fistula central venous obstruction |
| url | https://www.redalyc.org/articulo.oa?id=245030640013 |