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Percutaneous Extraanatomic Bypass for Treatment of Central Venous Occlusions in Patients Undergoing Hemodialysis.
AJR Am J Roentgenol 2019; :1-5AA

Abstract

OBJECTIVE.

The pipeline technique has been described for percutaneous creation of a long extraanatomic bypass for a thrombosed hemodialysis vascular access in patients with outflow veins that cannot be recanalized. However, when we used the pipeline technique in nonthrombotic vascular access sites to create a bypass to treat central venous occlusion, we encountered two technical challenges not mentioned in previous reports: bleeding from the peripheral incision and difficulty in pushing the stent-graft catheter through the subcutaneous track.

CONCLUSION.

We report our solutions for these two technical challenges and the treatment outcomes of percutaneous extraanatomic bypass for central venous occlusion in patients undergoing hemodialysis with access-related upper limb swelling.

Authors+Show Affiliations

Department of Interventional Radiology, Yuan's General Hospital, No. 162, Cheng-gong 1st Rd, Lingya District, Kaohsiung City 802, Taiwan. Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.Department of Interventional Radiology, Yuan's General Hospital, No. 162, Cheng-gong 1st Rd, Lingya District, Kaohsiung City 802, Taiwan. Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31743050

Citation

Chen, Matt Chiung-Yu, and Mei-Jui Weng. "Percutaneous Extraanatomic Bypass for Treatment of Central Venous Occlusions in Patients Undergoing Hemodialysis." AJR. American Journal of Roentgenology, 2019, pp. 1-5.
Chen MC, Weng MJ. Percutaneous Extraanatomic Bypass for Treatment of Central Venous Occlusions in Patients Undergoing Hemodialysis. AJR Am J Roentgenol. 2019.
Chen, M. C., & Weng, M. J. (2019). Percutaneous Extraanatomic Bypass for Treatment of Central Venous Occlusions in Patients Undergoing Hemodialysis. AJR. American Journal of Roentgenology, pp. 1-5. doi:10.2214/AJR.19.21721.
Chen MC, Weng MJ. Percutaneous Extraanatomic Bypass for Treatment of Central Venous Occlusions in Patients Undergoing Hemodialysis. AJR Am J Roentgenol. 2019 Nov 19;1-5. PubMed PMID: 31743050.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous Extraanatomic Bypass for Treatment of Central Venous Occlusions in Patients Undergoing Hemodialysis. AU - Chen,Matt Chiung-Yu, AU - Weng,Mei-Jui, Y1 - 2019/11/19/ PY - 2019/11/20/entrez PY - 2019/11/20/pubmed PY - 2019/11/20/medline KW - central vein KW - edema KW - extraanatomic bypass KW - hemodialysis SP - 1 EP - 5 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol N2 - OBJECTIVE. The pipeline technique has been described for percutaneous creation of a long extraanatomic bypass for a thrombosed hemodialysis vascular access in patients with outflow veins that cannot be recanalized. However, when we used the pipeline technique in nonthrombotic vascular access sites to create a bypass to treat central venous occlusion, we encountered two technical challenges not mentioned in previous reports: bleeding from the peripheral incision and difficulty in pushing the stent-graft catheter through the subcutaneous track. CONCLUSION. We report our solutions for these two technical challenges and the treatment outcomes of percutaneous extraanatomic bypass for central venous occlusion in patients undergoing hemodialysis with access-related upper limb swelling. SN - 1546-3141 UR - https://www.unboundmedicine.com/medline/citation/31743050/Percutaneous_Extraanatomic_Bypass_for_Treatment_of_Central_Venous_Occlusions_in_Patients_Undergoing_Hemodialysis L2 - http://www.ajronline.org/doi/full/10.2214/AJR.19.21721 DB - PRIME DP - Unbound Medicine ER -
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