A Case of Subclavian Vein Obstruction in a Patient with Hemodialysis.
- Author:
Oh Young CHUNG
1
;
Jin Han LEE
;
Jong Ryul KIM
;
Mi Jin SO
;
Byoung Ju NA
;
Jin Soo KIM
;
Kyoung Hyoub MOON
;
Yong Ho RHO
Author Information
1. Department of internal medicine, Korea Veterans Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hemodialysis;
Bypass graft;
Subclavian vein thrombosis
- MeSH:
Arteriovenous Fistula;
Axillary Vein;
Catheters;
Dialysis;
Edema;
Extremities;
Fistula;
Hemothorax;
Humans;
Hyperemia;
Incidence;
Jugular Veins;
Pneumothorax;
Polytetrafluoroethylene;
Renal Dialysis*;
Subclavian Vein*;
Thrombosis;
Upper Extremity
- From:Korean Journal of Nephrology
2000;19(4):756-759
- CountryRepublic of Korea
- Language:Korean
-
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.
