Contralateral internal jugular vein interposition for salvage of a functioning arteriovenous fistula.
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.
Hoballah
J J
JJ
Department of Surgery, The University of Iowa Hospitals and Clinics, Iowa City 52242-1086, USA.
Eid
G M
GM
Nazzal
M M
MM
Sharp
W J
WJ
Corson
J D
JD
D000328:Adult; D000714:Anastomosis, Surgical; D001164:Arteriovenous Fistula; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007601:Jugular Veins / Q000637:transplantation*; D008297:Male; D010690:Phlebography; D006435:Renal Dialysis; D012086:Reoperation