Subclavian Vein Thrombotic Occlusion Secondary to Hemodialysis Catheterization

혈액투석 카테터에 의한 쇄골하정맥 혈전성 폐쇄증의 수술치험 1례

  • Kim, Kwan-Mien (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Chee, Hyun-Keun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ahn, Hyuk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 김관민 (서울대학교병원 흉부외과학교실) ;
  • 지현근 (서울대학교병원 흉부외과학교실) ;
  • 안혁 (서울대학교병원 흉부외과학교실)
  • Published : 1995.01.01

Abstract

We are reporting one case of right subclavian vein thrombotic occlusion as a result of previous hemodialysis catheter placement in a patient with a functioning right brachio-cephalic arteriovenous fistula. Its complication was painful right arm swelling, limitation of motion and cellulitis. Diagnosis was confirmed by right subclavian venography and the complication was successfully managed by right subclavian vein-superior vena cava bypass with a GoreTex vascular graft. The arteriovenous fistula had remained to protect patency of the bypass at first, but two months later after the operation, the arteriovenous fistula had to be occluded because of the heart failure resulting from shunt over flow. After ligation of arteriovenous fistula, heart failure improved, and uncomfortable arm swelling did not develop again.

Keywords

References

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