Venous bypass as a surgical solution for central venous occlusions in upper-limb venous hypertension of hemodialysis patients with native arteriovenous fistula (short-term results)

Hosny, Ahmed S.; Elassy, Sayed A.; Yousry, Marwan; Sharkawy, Mohamed I.; Hanna, Ihab N.; Elmahrouky, Ahmed

doi:10.4103/ejs.ejs_179_21

Venous bypass as a surgical solution for central venous occlusions in upper-limb venous hypertension of hemodialysis patients with native arteriovenous fistula (short-term results)

Authors

Abstract

Purpose
To elaborate the safety of venous bypass as a surgical solution for venous hypertension due to central venous occlusion for hemodialysis patients with native arteriovenous fistula (AVF).
Patients and methods
The single-center retrospective cohort study included 17 hemodialysis patients with native AVF presenting with upper-limb venous hypertension due to central venous occlusion who underwent venous bypass.
Results
The improvement in the form of circumference reduction of the wrist, mid-forearm, elbow, and mid-arm was 93.4, 94, 88, and 92%, respectively, in the first 6 months postoperative. The patency rate was 88.2 and 82% over 6 and 12 months, respectively.
Conclusion
Venous bypass can be used as a surgical solution for central venous occlusions in upper-limb venous hypertension of hemodialysis patients with native AVF in cases of failed endovascular management.

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