Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access Javier Eduardo Ferrari Ayarragaray,

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Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access Javier Eduardo Ferrari Ayarragaray, MD Journal of Vascular Surgery Volume 37, Issue 5, Pages 1043-1046 (May 2003) DOI: 10.1067/mva.2003.215 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Venous pressure resistance before and after surgery. Journal of Vascular Surgery 2003 37, 1043-1046DOI: (10.1067/mva.2003.215) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A, Patient 1. Venogram demostrates high-grade stenosis of left innominate vein (arrow). V.C.S., Superior vena cava. B, Patient 2. Chronic catheter-related complete jugular and subclavian occlusion in a patient with painful extremity edema and malfunctioning dialysis graft. C, Patient 3. Fistulogram demostrates tight stenosis at level of first portion of subclavian vein over first rib. Journal of Vascular Surgery 2003 37, 1043-1046DOI: (10.1067/mva.2003.215) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Operative procedure. Schematic illustration of the bypass graft from the braquial access to the femoral vein. Journal of Vascular Surgery 2003 37, 1043-1046DOI: (10.1067/mva.2003.215) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions