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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Mal+Vasc 2002 ; 27 (3): 165-9 Nephropedia Template TP
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Pontage jugulaire anterieure - jugulaire interne pour sauvetage de fistule arterio-veineuse #MMPMID12232533
Bacciu PP; Porcu P; Piredda F; Casu MA; Marongiu GM; Gherli T
J Mal Vasc 2002[Jun]; 27 (3): 165-9 PMID12232533show ga
Thrombosis of the anonymous vein can compromise the arteriovenous fistula in chronic renal patients on hemodialysis. Clinical manifestations include edema of the arm, stasis acrocyanosis, tugor of the neck and shoulder veins, and severe headache. The fistula may have to be closed to achieve symptom relief, requiring a catheter for dialysis until an new arteriovenous fistula becomes functional. In case of stenosis or occlusion of the brachiocephalic venous axis, the goal is to preserve a functional fistula yet resolve symptoms. Self-expanding stents have been used but results have been less than satisfactory or short-lived. Different surgical bypass techniques have been proposed. We report an anterior jugular-internal jugular bypass used to salvage a dialysis arteriovenous fistula.