Skip to main content

Cephalic Vein Outflow Relocation

  • Chapter
  • First Online:
Book cover Dialysis Access Cases

Abstract

This chapter discusses the case of a patient who had recurrent cephalic arch stenosis for the past 18 months and has been treated with angioplasty on the average of every 2 months. At this point there were several possible alternatives that could be applied. One of these - cephalic vein outflow relacation was used.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Falk A, Teodorescu V, Lou WY, Uribarri J, Vassalotti JA. Treatment of “swing point stenoses” in hemodialysis arteriovenous fistulae. Clin Nephrol. 2003;60(1):35–41.

    Article  CAS  PubMed  Google Scholar 

  2. Ene-Iordache B, Remuzzi A. Disturbed flow in radial-cephalic arteriovenous fistulae for haemodialysis: low and oscillating shear stress locates the sites of stenosis. Nephrol Dial Transplant. 2011;27(1):358–68.

    Article  PubMed  Google Scholar 

  3. Asif A, Roy-Chaudhury P, Beathard GA. Early arteriovenous fistula failure: a logical proposal for when and how to intervene. Clin J Am Soc Nephrol. 2006;1(2):332–9.

    Article  PubMed  Google Scholar 

  4. Badero OJ, Salifu MO, Wasse H, Work J. Frequency of swing-segment stenosis in referred dialysis patients with angiographically documented lesions. Am J Kidney Dis. 2008;51(1):93–8.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Glanz S, Bashist B, Gordon DH, Butt K, Adamsons R. Angiography of upper extremity access fistulas for dialysis. Radiology. 1982;143(1):45–52.

    Article  CAS  PubMed  Google Scholar 

  6. Rajan DK, Clark TW, Patel NK, Stavropoulos SW, Simons ME. Prevalence and treatment of cephalic arch stenosis in dysfunctional autogenous hemodialysis fistulas. J Vasc Interv Radiol. 2003;14(5):567–73.

    Article  PubMed  Google Scholar 

  7. Shemesh D, Goldin I, Zaghal I, Berlowitz D, Raveh D, Olsha O. Angioplasty with stent graft versus bare stent for recurrent cephalic arch stenosis in autogenous arteriovenous access for hemodialysis: a prospective randomized clinical trial. J Vasc Surg. 2008;48(6):1524–31, 1531e1–2.

    Article  PubMed  Google Scholar 

  8. Chen JC, Kamal DM, Jastrzebski J, Taylor DC. Venovenostomy for outflow venous obstruction in patients with upper extremity autogenous hemodialysis arteriovenous access. Ann Vasc Surg. 2005;19(5):629–35.

    Article  PubMed  Google Scholar 

  9. Kian K, Unger SW, Mishler R, Schon D, Lenz O, Asif A. Role of surgical intervention for cephalic arch stenosis in the “fistula first” era. Semin Dial. 2008;21(1):93–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gerald A. Beathard MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Beathard, G.A. (2017). Cephalic Vein Outflow Relocation. In: Yevzlin, A., Asif , A., Redfield III, R., Beathard, G. (eds) Dialysis Access Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-57500-1_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-57500-1_43

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57498-1

  • Online ISBN: 978-3-319-57500-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics