Korean J Vasc Endovasc Surg.  2011 Aug;27(3):133-135. 10.5758/kjves.2011.27.3.133.

A Case Report of a Successful Bypass Operation for Peripheral Venous Hypertension with Digital Pigmentation and Ulcer with Crust in Hemodialysis Patient

• Hur J
• Lee SC
• Kim DS
• Kim SW
• Kong JH
• Park BJ

• KMID: 1448071
• DOI: http://doi.org/10.5758/kjves.2011.27.3.133

Abstract

Peripheral venous hypertension is a rare complication in end-stage renal disease patients undergoing maintenance hemodialysis. Primarily, it is secondary to frequent venous accesses, thrombosis, and to other causes. Venous hypertension may cause pain and edema of the ipsilateral arm; increased venous pressure can prevent acceptable flow rates during dialysis. In this case report, we describe our experience using a Gore-Tex tube graft to treat a venous bypass complicated by peripheral venous hypertension with digital pigmentation and an ulcer with crust. Based on our experience, this technique is as an effective and low-risk surgical option to treat this condition.

Keyword

Thrombosis; Reoperation; Hemodialysis; Venous hypertension

MeSH Terms

Dialysis
Edema
Humans
Hypertension
Kidney Failure, Chronic
Pigmentation
Polytetrafluoroethylene
Renal Dialysis
Reoperation
Thrombosis
Transplants
Ulcer
Venous Pressure
Polytetrafluoroethylene