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Contralateral Internal Jugular Vein Interposition for Salvage of a Functioning Arteriovenous Fistula

2000; Elsevier BV; Volume: 14; Issue: 6 Linguagem: Inglês

10.1007/s100169910122

1615-5947

Jamal J. Hoballah, George M. Eid, Munier Nazzal, William J. Sharp, John D. Corson,

Vascular anomalies and interventions

Outflow obstruction in patients with hemodialysis access can cause venous hypertension and jeopardize the patency of the access site. Numerous surgical procedures have been described to decompress an occluded subclavian vein. In this report, we describe the use of the contralateral internal jugular vein as a bypass conduit to decompress an occluded brachiocephalic vein in a patient whose dialysis was dependent on this vein access. Outflow obstruction in patients with hemodialysis access can cause venous hypertension and jeopardize the patency of the access site. Numerous surgical procedures have been described to decompress an occluded subclavian vein. In this report, we describe the use of the contralateral internal jugular vein as a bypass conduit to decompress an occluded brachiocephalic vein in a patient whose dialysis was dependent on this vein access.