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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Endovascular strategy for recanalization of long-segment central vein occlusion with concomitant arteriovenous

Rafael D Malgor1, Emily A Wood, Antonios P Gasparis

  • 1Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, NY 11794-8191, USA. afael.malgor@stonybrook.edu

Annals of Vascular Surgery
|September 5, 2012
PubMed

Recanalization of long-segment central vein flush occlusion in hemodialysis patients has been advocated in lieu of central vein bypass and thoracotomy to restore arteriovenous access availability. We report a challenging case of complex central venous flush occlusion in a 50-year-old woman on hemodialysis who presented with right arm and facial swelling. A concise step-by-step description of endovascular strategy with retrograde and antegrade balloon angioplasty techniques for central vein recanalization with concomitant arteriovenous fistula creation is provided.

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