Cephalic to internal jugular vein bypass with external jugular vein conduit for rescue of a failing brachiocephalic arteriovenous fistula

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-03-31 DOI:10.1016/j.jvscit.2025.101793

Jordan Eng BS, Dean Klinger MD, Momodou L. Jammeh MD

引用次数: 0

Abstract

Central vein occlusion involving the subclavian or innominate veins is a common complication of hemodialysis access. This can lead to venous hypertension manifesting as severe extremity edema and insufficient clearance during dialysis. If left untreated, central venous occlusion may lead to access failure. Here, we present a case of subclavian vein occlusion on the ipsilateral side of a brachiocephalic fistula treated with cephalic vein to internal jugular vein bypass with external jugular vein conduit resulting in resolution of symptomatic venous hypertension and preservation of access for dialysis.

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颈外静脉旁路术治疗失败的头臂动静脉瘘

中央静脉阻塞累及锁骨下静脉或无名静脉是血液透析通路的常见并发症。这可导致静脉高压，表现为严重的四肢水肿和透析期间清除不足。如果不及时治疗，中心静脉阻塞可能导致通路失败。在此，我们报告一例锁骨下静脉闭塞的同侧的头臂瘘管，通过头静脉到颈内静脉的旁路治疗颈外静脉导管，导致症状性静脉高压的解决和保留透析通路。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.