title: Creation of a Successful Transposed Antecubital Radiocephalic Arteriovenous Fistula in Patient with Known Ipsilateral Modified Radical Mastectomy, Postoperative Radiation, and Proximal Central Venous Occlusion.
abstract: Native arteriovenous fistula (AVF) placement in patients with ipsilateral mastectomy and radiation has been avoided because of concerns regarding central venous outflow obstruction. To our knowledge, only 3 such cases have been reported. We present a patient with bilateral mastectomies and right-sided radiation therapy presenting for vascular access in the setting of multiple failed AVF in her left upper extremity and infected-groin catheter, central catheters, and axillary loop graft. We created and superficialized a radiocephalic AVF in her right upper extremity in the setting of central vein occlusion and robust collaterals which remains patent and has been cannulated successfully.
authors.affiliation: General Surgery, Kaiser Permanente-Arrowhead Regional Medical Center, Fontana, CA. Electronic address: aamna0601@gmail.com.
authors.forename: Aamna Mahnoor
authors.initials: AM
authors.lastname: Ali
authors.affiliation: Breast and Oncologic Surgery, Department of Surgery, University of Southern California, Los Angeles, CA.
authors.forename: Sadia
authors.initials: S
authors.lastname: Khan
authors.affiliation: Vascular Surgeon, Department of Surgery, Kaiser Permanente Foundation Hospital, Fontana, CA.
authors.forename: Majid
authors.initials: M
authors.lastname: Tayyarah
mesh_terms: D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003097:Collateral Circulation; D003251:Constriction, Pathologic; D005260:Female; D005542:Forearm / Q000098:blood supply*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D015411:Mastectomy, Modified Radical; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D006435:Renal Dialysis; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014652:Vascular Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D014654:Vascular Patency