title: Endovascular strategy for recanalization of long-segment central vein occlusion with concomitant arteriovenous fistula creation.
abstract: Recanalization of long-segment central vein flush occlusion in hemodialysis patients has been advocated in lieu of central vein bypass and thoracotomy to restore arteriovenous access availability. We report a challenging case of complex central venous flush occlusion in a 50-year-old woman on hemodialysis who presented with right arm and facial swelling. A concise step-by-step description of endovascular strategy with retrograde and antegrade balloon angioplasty techniques for central vein recanalization with concomitant arteriovenous fistula creation is provided.
authors.affiliation: Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, NY 11794-8191, USA. afael.malgor@stonybrook.edu
authors.forename: Rafael D
authors.initials: RD
authors.lastname: Malgor
authors.forename: Emily A
authors.initials: EA
authors.lastname: Wood
authors.forename: Antonios P
authors.initials: AP
authors.lastname: Gasparis
authors.forename: Mazen
authors.initials: M
authors.lastname: Hashisho
mesh_terms: D000800:Angioplasty, Balloon; D001166:Arteriovenous Shunt, Surgical; D061807:Catheter Obstruction / Q000009:adverse effects*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D034941:Upper Extremity / Q000098:blood supply*; D062666:Vascular Access Devices / Q000009:adverse effects*; D014652:Vascular Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*