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Patient has a tunneled hemodialysis catheter in her right internal jugular vein. She has a new (3 wks) PTFE hemodialysis graft in her right upper arm.

Published byChloe Franklin Modified over 9 years ago

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Presentation on theme: "Patient has a tunneled hemodialysis catheter in her right internal jugular vein. She has a new (3 wks) PTFE hemodialysis graft in her right upper arm."— Presentation transcript:

1 Patient has a tunneled hemodialysis catheter in her right internal jugular vein. She has a new (3 wks) PTFE hemodialysis graft in her right upper arm. Her right arm is now moderately swollen. Plan: 1. Right central venogram 2. Remove right-side hemodialysis catheter 3. Angioplasty central venous stenosis 4. Insert new left-sided tunneled catheter

2 Occlusion of right brachiocephalic vein by tunneled hemodialysis catheter

3 Angioplasty (10 mm ) Post-Angioplasty

4 Left central veins are patent Inserted tunneled catheter into left internal jugular vein

5 This stenosis in her right brachiocephalic vein will need additional angioplasty and/or stent However, her current symptoms (edema) should improve so that her new graft can be used

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