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| 도관삽입술 후 발생한 쇄골하정맥 폐쇄 : 내동정맥루 형성 후 발생한 심한 상지부종 |
| 송경석 , 문철 , 한동철 , 황승덕 , 이희발 |
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| Abstract |
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We report 5 cases of massive edema of the upper extremities following the surgical creation of arter- iovenous fistula as a hemodialysis access. These were the results of poor venous return secondary to occlusion of subclavian vein and increased blood flow after the creation of arteriovenous fistula. The occlusions were undoubtedly caused by previous subclavan vein cannula- tion for hemodialysis. We recommend that wherever possible, subclavian vein catheters should be placed contralateral to the permanent vascular access site and all patients who have had previous subclavian vein catheters should be evaluated to determine the patency of the subclavian vein before creation of permanent vascular access in that arm. |
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