Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction Report as inadecuate




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Ricardo Zanetti Gomes ; Emerson Hideyoshi Shimada ; Rafael Inacio Brandao ; Suellen Vienscoski Skupien ;Jornal Vascular Brasileiro 2014, 13 1

Author: Felipe Jose Skupien

Source: http://www.redalyc.org/


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Jornal Vascular Brasileiro ISSN: 1677-5449 jvascbr.ed@gmail.com Sociedade Brasileira de Angiologia e de Cirurgia Vascular Brasil Skupien, Felipe Jose; Zanetti Gomes, Ricardo; Hideyoshi Shimada, Emerson; Brandao, Rafael Inacio; Vienscoski Skupien, Suellen Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction Jornal Vascular Brasileiro, vol.
13, núm.
1, enero-marzo, 2014, pp.
63-66 Sociedade Brasileira de Angiologia e de Cirurgia Vascular São Paulo, Brasil Available in: http:--www.redalyc.org-articulo.oa?id=245030640013 How to cite Complete issue More information about this article Journals homepage in redalyc.org Scientific Information System Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Non-profit academic project, developed under the open access initiative CASE REPORT Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction Transposição de veia cefálica para salvamento de fístula arteriovenosa de hemodiálise e tratamento de obstrução venosa central sintomática Felipe Jose Skupien1, Ricardo Zanetti Gomes1, Emerson Hideyoshi Shimada1, Rafael Inacio Brandao1, Suellen Vienscoski Skupien2 Abstract It is known that stenosis or central venous obstruction affects 20 to 50% of patients who undergo placement of catheters in central veins.
For patients who are given hemodialysis via upper limbs, this problem causes debilitating symptoms and increases the risk of loss of hemodialysis access.
We report an atypical case of treatment of a dialysis patient with multiple comorbidities, severe swelling and pain in the right upper limb (RUL), few alternative sites for hemodialysis vascular access, a functioning brachiobasilic fistula in the RUL and severe venous hypertension in the same limb, secondary to central vein occlusion of the internal jugular vein and right brachioce...





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