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KMID : 0359919930120020172
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Korean Journal of Nephrology
1993 Volume.12 No. 2 p.172 ~ p.178
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Subclavian Vein Occlusion and Massive Upper Extremity Edema : A Complication of Subclavian Vein Catheterization
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Abstract
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We report 5 cases of massive edema of the upper extremities following the surgical creation of arteriovenous fistula as a hemodialysis access. These were the results of poor wenous return secondary to occlusion of subclavian vein and increased
blood
flow after the creation of arteriovenous fistula. The occlusions were undoubtedly caused by previous subclavan vein cannulation for hemodialysis. We recommend that wherever possible, subclavian vein catheters should be palced contralateral to the
permanent vascular access site and all patient who have had previous subclavian vein catheters should be evaluated to determine the patency of the subclavian vein before creation of permanent vascular access in that arm.
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