6th International Virtual Congress (IVC-2019) And Workshop.  International E-publication: Publish Projects, Dissertation, Theses, Books, Souvenir, Conference Proceeding with ISBN.  International E-Bulletin: Information/News regarding: Academics and Research

Salvaging AV Fistula inupper Limb Edema with Central Venous Thrombosis

Author Affiliations

  • 1 Department of Plastic Surgery, JIPMER, Pondicherry, TM, INDIA

Int. Res. J. Medical Sci., Volume 2, Issue (11), Pages 20-21, November,28 (2014)

Abstract

This is a case report of left upper limb edema following left brachiocephalic fistula done for hemodialysis. Patient was detected to have proximal central venous stenosis as cause of upper limb edema. Usually such cases are managed with closure of arteriovenous(AV) Fistula to relieve limb edema which should not be done and AV fistula should be salvaged for future usage. In our case, patient responded well to conservative treatment anddistal AV fistula was salvaged for future purpose.

References

  1. Konner K., Primary vascular access in diabetic patients : An audit, Nephrol. Dial. Transplant., 15, 1317–25 (2000)
  2. Brescia M.J, Cimino J.E, Appel K and Hurwich B.J, Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula, N Engl J Med., 275, 1089–92 (1966)
  3. Chandler N.M, Mistry B.M. and Garvin P.J, Surgical bypass for subclavian vein occlusion in hemodialysis patients, J. Am. Coll. Surg., 194(4), 416-21 (2002)
  4. Prętre R, Delay D, Bonada I and Murith N., Approach to upper limb edema secondary to subclavian vein occlusion situated distal to an arteriovenous fistula, Ann.Chir., 52(4), 331-7(1998)
  5. Kundu S., Central venous disease in hemodialysis patients: prevalence, etiology and treatment, J.Vasc. Access, 11, 1-7 (2010)
  6. Yevzlin AS., Hemodialysis catheter-associated central venous stenosis, Semin. Dial., 20, 522-7 (2008)