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Venous Hypertension Associated with Asymptomatic Bilateral Axillary Vein Thrombosis and Graft Arteriovenous Fistula A Case Report

Department of Surgery of Brooklyn, Jewish Division of Interfaith Medical Center, Brooklyn, New York

F. Guillermo Peña, M.D., A.F.A.C.A.

Department of Surgery of Brooklyn, Jewish Division of Interfaith Medical Center, Brooklyn, New York

Surgically created arteriovenous fistula is a widely used form of treatment for end-stage renal disease. Even though it causes hemodynamic changes, they are not sufficient to produce significant alteration in the local as well as systemic circulation. The venous outflow has a crucial importance in the functioning of the fistula. Venous circulation is usually subjected to repeated injury in patients with chronic or critical illnesses. We present here a case in which sequential attempts to obtain angio access were unsuccessful due to bilateral axillary-sub clavian vein thrombosis, causing severe outflow obstruction and venous hyper tension. The role of angiography is to be considered in these situations.

Vascular and Endovascular Surgery, Vol. 19, No. 4, 270-273 (1985)
DOI: 10.1177/153857448501900413


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