Extra-anatomic Venous Bypass for Central Venous Obstruction in Hemodialysis Patient: Another Treatment Option: A case report

ABSTRACT

Placement of central venous catheter is the most common cause of central venous thrombosis. In the setting of a functioning of ipsilateral upper extremity arteriovenous fistula (AVF), symptoms with venous hypertension may be exacerbated. We report a case of patient with successful decompression of severe venous hypertension in the left arm, neck and anterolateral chest wall of a patient whose access for hemodialysis was functioning on the left wrist with left innominate vein occlusion. Left axillary vein to right innominate vein Dacron crossing bypass provided prompt and effective maintenance of venous outflow, with complete resolution of venous engorgement of the affected limb and preservation of dialysis fistula.