Transposition of external jugular to proximal internal jugular vein for relief of venous thoracic outlet syndrome and maintenance of arteriovenous fistula access for chronic hemodialysis: A new approach
Autor: | Jason C DeGiovanni, Payam Salehi, Andrew Son |
---|---|
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
business.industry First rib resection medicine.medical_treatment Arteriovenous fistula 030204 cardiovascular system & hematology medicine.disease Balloon Surgery 03 medical and health sciences Stenosis surgical procedures operative 0302 clinical medicine Nephrology Angioplasty cardiovascular system medicine cardiovascular diseases 030212 general & internal medicine Hemodialysis business Internal jugular vein External jugular vein |
Zdroj: | The Journal of Vascular Access. 21:98-102 |
ISSN: | 1724-6032 1129-7298 |
DOI: | 10.1177/1129729819851063 |
Popis: | We are reporting a case of venous thoracic outlet syndrome with recurrent subclavian vein thrombosis in the setting of an ipsilateral brachiocephalic arteriovenous fistula for hemodialysis that was malfunctioning due to the central vein obstruction. The patient also had a concomitant external jugular vein origin stenosis. Given her body habitus and aversion to recovery after traditional first rib resection, we elected for an alternative treatment with an external jugular vein to internal jugular vein transposition with balloon angioplasty of the stenosed external jugular origin segment. The goal of this was to provide simultaneous relief of her outlet obstruction symptoms and salvage her dialysis access with a less invasive technique. |
Databáze: | OpenAIRE |
Externí odkaz: |