Korean Journal of Nephrology 2000;19(4):756-759.

유지혈액투석환자에서 우회술식으로 치료된 중심정맥폐쇄증 1예 (A Case of Subclavian Vein Obstruction in a Patient with Hemodialysis)

정오영(Oh Young Jung),이진한(Jin Han Lee),김종률(Jong Ryul Kim),소미진(Mi Jin So),나병주(Byung Joo Na),김진수(Jin Soo Kim),문경협(Gyung Hyub Moon),노용호(Yong Ho Rho)

Abstract

Subclavian and internal jugular vein catheters are widely employed for temporary hemodialysis access. Placement of subclavian venous catheter has many complications such as pneumothorax and hemothorax, etc. Incidence of subclavian vein obstruction due to thrombosis is probably greater than is commonly appreciated. Subclavian vein obstruction may cause no specific complaints, but thrombosis in the presence of an arteriovenous fistula may produce severe symptoms such as massive edema and pain. This is report of one patient, who developed massive edema of upper extremity and in whom proximal subclavian vein occlusion developed after previous percutaneous dialysis catheter. Right internal jugular vein to axillary vein bypass with 8mm PTFE provided prompt and effective venous outflow, with complete resolution of venous engorgement of the affected limb and preservation of the dialysis fistula.