title: Axillary artery to right atrium shunt for hemodialysis access in a patient with advanced central vein thrombosis: a case report.
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.
authors.affiliation: Department of Vascular Surgery, Regina General Hospital, Regina, Saskatchewan, Canada. dkopriva@sasktel.net
authors.forename: David
authors.initials: D
authors.lastname: Kopriva
authors.forename: Ahmad
authors.initials: A
authors.lastname: Moustapha
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D001366:Axillary Artery / Q000601:surgery*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D006435:Renal Dialysis; D019851:Thrombophilia / Q000150:complications; D013927:Thrombosis / Q000209:etiology*