Korean J Nephrol.  2000 Jul;19(4):756-759.

A Case of Subclavian Vein Obstruction in a Patient with Hemodialysis

Affiliations
  • 1Department of internal medicine, Korea Veterans Hospital, Seoul, Korea.

Abstract

Subclavian and internal jugular vein catheters are widely employed for temporary hemodialysis access. Placement of subclavian venous catheter has many complications such as pneumothorax and hemothorax, etc. Incidence of subclavian vein obstruction due to thrombosis is probably greater than is commonly appreciated. Subclavian vein obstruction may cause no specific complaints, but thrombosis in the presence of an arteriovenous fistula may produce severe symptoms such as massive edema and pain. This is report of one patient, who developed massive edema of upper extremity and in whom proximal subclavian vein occlusion developed after previous percutaneous dialysis catheter. Right internal jugular vein to axillary vein bypass with 8mm PTFE provided prompt and effective venous outflow, with complete resolution of venous engorgement of the affected limb and preservation of the dialysis fistula.

Keyword

Hemodialysis; Bypass graft; Subclavian vein thrombosis

MeSH Terms

Arteriovenous Fistula
Axillary Vein
Catheters
Dialysis
Edema
Extremities
Fistula
Hemothorax
Humans
Hyperemia
Incidence
Jugular Veins
Pneumothorax
Polytetrafluoroethylene
Renal Dialysis*
Subclavian Vein*
Thrombosis
Upper Extremity
Polytetrafluoroethylene
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