• 제목/요약/키워드: Venous bypass 쇄골하 정맥

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만성 신부전 환자에서 혈액투석 도관에 의한 중심정맥 폐쇄증의 수술치험 -1례 보고- (Central Vein Occlusion Secondary to Hemodialysis Catheterization in Chronic Renal Failure Patient -One Case Report-)

  • 이석열;이준복;이만복;염욱;이길노
    • Journal of Chest Surgery
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    • 제31권6호
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    • pp.619-623
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    • 1998
  • 우측 팔의 부종과 압통을 주소로 내원한 51세 만성 신부전증 환자에서 정맥 촬영술의 결과 반복된 쇄골하정맥 도관삽관술후에 생긴 중심정맥(우쇄골하정맥, 우내경정맥, 우상완두정맥과 좌무명정맥)의 폐쇄증을 Goretex 인조혈관을 이용하여 우쇄골하정맥-상공정맥에 10 mm Goretex 인조혈관 우회로 조성술과 좌쇄골하정맥-10 mm Goretex 인조혈관사이에 8 mm Goretex 인조혈관 우회로 조성술을 실시하여 좋은 결과를 얻었다.

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혈액투석 카테터에 의한 쇄골하정맥 혈전성 폐쇄증의 수술치험 1례 (Subclavian Vein Thrombotic Occlusion Secondary to Hemodialysis Catheterization)

  • 김관민;지현근;안혁
    • Journal of Chest Surgery
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    • 제28권1호
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    • pp.73-77
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    • 1995
  • 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.

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