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) | ||||
The Egyptian Journal of Surgery | ||||
Volume 40, Issue 4, October 2021, Page 1145-1150 PDF (583.12 K) | ||||
DOI: 10.4103/ejs.ejs_179_21 | ||||
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Authors | ||||
Ahmed S. Hosny; Sayed A. Elassy; Marwan Yousry; Mohamed I. Sharkawy; Ihab N. Hanna; Ahmed Elmahrouky | ||||
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. | ||||
Keywords | ||||
central venous occlusion; venous bypass; Venous hypertension; Hemodialysis | ||||
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