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Annals of Vascular Surgery
Published in: Annals of Vascular Surgery 3/2006

01-05-2006

Axillary Artery to Right Atrium Shunt for Hemodialysis Access in a Patient with Advanced Central Vein Thrombosis: A Case Report

Authors: David Kopriva, MDCM, FRCS(C), Ahmad Moustapha, MD, FRCS(C)

Published in: Annals of Vascular Surgery | Issue 3/2006

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Abstract

Central venous thrombosis presents a challenge to the treatment of hemodialysis patients requiring vascular access. We present the case of a patient with renal failure and virulent thrombophilia causing severe central venous thrombosis. We discuss the use of a hemodialysis shunt from the right axillary artery to the right atrium and describe the technical details and the pitfalls encountered in our utilization of this technique.
Literature
1.
National Kidney Foundation. K/DOQI clinical practice guidelines for vascular access, 2000. Am J Kidney Dis 2001;37(Suppl. 1):S137–S181
2.
Stavropoulos SW, Pan JJ, Clark TW, et al. Percutaneous transhepatic venous access for hemodialysis. J Vasc Interv Radiol 2003;14:1187–1190PubMed
3.
El-Sabrout RA, Duncan JM. Right atrial bypass grafting for central venous obstruction associated with dialysis access: another treatment option. J Vasc Surg 1999;29:472–478CrossRefPubMed
4.
Mickley V. Subclavian artery to right atrium haemodialysis bridge graft for superior vena caval occlusion. Nephrol Dial Transplant 1996;11:1361–1362PubMed
Metadata
Title
Axillary Artery to Right Atrium Shunt for Hemodialysis Access in a Patient with Advanced Central Vein Thrombosis: A Case Report
Authors
David Kopriva, MDCM, FRCS(C)
Ahmad Moustapha, MD, FRCS(C)
Publication date
01-05-2006
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 3/2006
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-006-9032-0

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