Journal of the Korean Society for Vascular Surgery  2006;22(1):22-24

Veno-veno Bypass for Central Vein Occlusion in Hemodialysis Patients: Two cases report.

In Hag SONG 1 ; Young Woo PARK ; Yong Soon WON ; Jae Ung LIM ; Hwa Kyun SHIN

Affiliations

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Keywords

Central vein stenosis; Venous bypass; Hemodialysis

Country

Republic of Korea

Language

Korean

Abstract

Central venous stenosis or occlusion is a serious complication in end-stage renal disease patients undergoing maintenance hemodialysis. It is mostly secondary to trauma caused by temporary or permanent hemodialysis catheter placement. Venous hypertension may cause pain, edema of the ipsilateral arm and increased venous pressure prevents acceptable flow rates during dialysis. Venous bypass to the internal jugular vein, the external jugular vein, or axillary vein to saphenous vein bypass have been described as alternative options of surgical management. Our patients underwent internal jugular vein bypass. We think it is an effective and low risk surgical option.