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KMID : 0364019950280010073
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 1 p.73 ~ p.77
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Subclavian Vein Thrombotic Occlusion Secondary To Hemodialysis Cath terization
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Abstract
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We are reporting one case of right subclavian vein thrombotic occlusion as a result of previous hemodialysis catheter placement in a patient with a functioning right brachio-cephalic arteriovenous fistula. Its complication was painful right arm
swelling, limitation of motion and cellulitis.
Diagnosis was confirmed by right subclavian venography and the complication was successfully managed by right subclavian vein-superior vena cava bypass with a GoreTex vascular graft.
The arteriovenous fistula had remained to protect patency of the bypass at first, but two months later after the operation, the arteriovenous fistula had to be occluded because of the heart failure resultig from shunt over flow. After ligation of
arteriovenous fistula, heart failure improved, and uncomfortable arm swelling did not develop again.
(Korean J Thoracic Cardiovas Surg 1995;28:73-7)
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