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A systematic review of right atrial bypass grafting in the management of central venous occlusive disease in patients undergoing hemodialysis.
J Vasc Access
January 2024
SingVaSC, Singapore Vascular Surgical Collaborative, Singapore.
Introduction: Central venous occlusive disease (CVOD) is a complication that can occur in patients with end-stage renal disease who are receiving hemodialysis. When CVOD develops, patients often require multiple re-interventions to maintain their dialysis access. CVOD can be treated by various strategies such as balloon angioplasty, stenting, lower limb or extra-anatomical grafts, hybrid grafts or surgical bypasses such as right atrial (RA).
View Article and Find Full Text PDF[Bypass grafting in patients with infected vascular grafts].
Angiol Sosud Khir
September 2020
Department of General Surgery, North-Western State Medical University named after I.M. Mechnikov, Saint Petersburg, Russia.
Analysed herein are the results of treating a total of 17 patients presenting with pathology of the aorta and lower-limb arteries, who from 2010 to 2018 required redo interventions due to infection of a previously implanted synthetic vascular graft. At admission, 3 patients were diagnosed as having an open infected wound, 11 were found to have a fistula, 2 had a false aneurysm in the area of the distal anastomosis of the branch of the bifurcation aortofemoral prosthesis, and 1 had thrombosis of the branch of the prosthesis with evidence of infection. As redo surgery, 4 patients underwent subclavian-femoral bypass grafting, 2 were subjected to crossover iliac-femoral bypass grafting, 8 to unilateral iliac-femoral bypass grafting, 3 to loop endarterectomy.
View Article and Find Full Text PDFExtra-anatomical Cephalic to Internal Jugular Vein Bypass for Central Venous Occlusion.
J Coll Physicians Surg Pak
February 2020
Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
Extra-anatomical cephalic to internal jugular venovenous bypass is a surgical method of improving the patency of arteriovenous access in patients with central venous stenosis (CVS), which is infrequently performed. It can be more durable compared to percutaneous venoplasty for CVS. We present a 60-year male who developed right subclavian vein stenosis after brachiocephalic arteriovenous fistula.
View Article and Find Full Text PDF[Simultaneous reconstruction of the carotid and vertebral arteries using a temporary intraluminal shunt (a clinical case)].
Zh Vopr Neirokhir Im N N Burdenko
April 2018
Burdenko Neurosurgical Institute, Moscow, Russia.
The article describes a case of one-stage surgical treatment of a patient with progressive chronic cerebral ischemia caused by combined steno-occlusive lesions of the carotid and vertebral arteries. The disease was complicated by intolerance to temporary occlusion of the carotid artery due to an incomplete circle of Willis. We performed extra-anatomic carotid-vertebral artery bypass with subsequent ipsilateral carotid endarterectomy.
View Article and Find Full Text PDFExtra-anatomical veno-venous surgical bypass for central vein occlusion in patients with ipsilateral arterio-venous fistula (AVF) for haemodialysis - A single centre experience.
Med J Malaysia
February 2017
Hospital Kuala Lumpur, Department of General Surgery, Kuala Lumpur, Malaysia.
Objective: Central vein occlusion is a common complication related to central vein catheter insertion for haemodialysis which can be unmasked by an ipsilateral fistula creation, leading to a dysfunctional arteriovenous fistula (AVF). We describe an extra-anatomical venous bypass surgical procedure performed to maintain vascular access and reduce the symptoms of swelling of the ipsilateral upper limb, neck and face.
Materials And Methods: We report 20 consecutive patients with end-stage renal failure (ESRF) who had central vein occlusion and were not amenable to endovascular intervention.
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