Internal jugular to axillary vein bypass for subclavian vein thrombosis in the setting of brachial arteriovenous fistula John D. Puskas, MD, Jonathan.

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Presentation transcript:

Internal jugular to axillary vein bypass for subclavian vein thrombosis in the setting of brachial arteriovenous fistula John D. Puskas, MD, Jonathan P. Gertler, MD Journal of Vascular Surgery Volume 19, Issue 5, Pages 939-942 (May 1994) DOI: 10.1016/S0741-5214(94)70022-2 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Preoperative fistulogram demonstrates occlusion of distal right subclavian vein. Journal of Vascular Surgery 1994 19, 939-942DOI: (10.1016/S0741-5214(94)70022-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Line drawing of operative procedure. Internal jugular vein was mobilized, passed through generous subclavicular tunnel, and anastomosed end-to-side to distal axillary vein. Journal of Vascular Surgery 1994 19, 939-942DOI: (10.1016/S0741-5214(94)70022-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Fistulogram obtained on postoperative day 7 documented widely patent venovenous anastomosis with most flow through internal jugular venous bypass and small residual amount through persistent collateral vessels. Journal of Vascular Surgery 1994 19, 939-942DOI: (10.1016/S0741-5214(94)70022-2) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions