First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis

We present two cases of thoracic outlet decompression performed to facilitate hemodialysis through upper limb arteriovenous fistulas. In patients undergoing arteriovenous fistula formation for dialysis access, venous hypertension is a well-known complication. We used a supraclavicular approach in ou...

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Main Authors:	Seamus M. McHugh, MD, Mohamad A. Hussain, MD, Badr Aljabri, MD, FRCSC, Elisa Greco, MD, MEd, FRCSC, Mohammed Al-Omran, MD, MSc, FRCSC
Format:	Article
Language:	English
Published:	Elsevier 2016-09-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428716300041

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spelling	doaj-db8f4dcd805945bb80334d775fcb76e12020-11-25T00:52:35ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872016-09-012311111310.1016/j.jvscit.2016.04.004First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysisSeamus M. McHugh, MD0Mohamad A. Hussain, MD1Badr Aljabri, MD, FRCSC2Elisa Greco, MD, MEd, FRCSC3Mohammed Al-Omran, MD, MSc, FRCSC4Division of Vascular Surgery, St. Michael's Hospital, Toronto, Ontario, CanadaDivision of Vascular Surgery, St. Michael's Hospital, Toronto, Ontario, CanadaDivision of Vascular Surgery, St. Michael's Hospital, Toronto, Ontario, CanadaDivision of Vascular Surgery, St. Michael's Hospital, Toronto, Ontario, CanadaDivision of Vascular Surgery, St. Michael's Hospital, Toronto, Ontario, CanadaWe present two cases of thoracic outlet decompression performed to facilitate hemodialysis through upper limb arteriovenous fistulas. In patients undergoing arteriovenous fistula formation for dialysis access, venous hypertension is a well-known complication. We used a supraclavicular approach in our two reported cases to remove the first rib to facilitate hemodialysis. Dialysis patients presenting with central venous stenosis should be assessed for evidence of extrinsic compression by the first rib as management options differ from those with central venous stenosis due to an intravenous catheter.http://www.sciencedirect.com/science/article/pii/S2468428716300041
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Seamus M. McHugh, MD Mohamad A. Hussain, MD Badr Aljabri, MD, FRCSC Elisa Greco, MD, MEd, FRCSC Mohammed Al-Omran, MD, MSc, FRCSC
spellingShingle	Seamus M. McHugh, MD Mohamad A. Hussain, MD Badr Aljabri, MD, FRCSC Elisa Greco, MD, MEd, FRCSC Mohammed Al-Omran, MD, MSc, FRCSC First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Seamus M. McHugh, MD Mohamad A. Hussain, MD Badr Aljabri, MD, FRCSC Elisa Greco, MD, MEd, FRCSC Mohammed Al-Omran, MD, MSc, FRCSC
author_sort	Seamus M. McHugh, MD
title	First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis
title_short	First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis
title_full	First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis
title_fullStr	First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis
title_full_unstemmed	First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis
title_sort	first rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2016-09-01
description	We present two cases of thoracic outlet decompression performed to facilitate hemodialysis through upper limb arteriovenous fistulas. In patients undergoing arteriovenous fistula formation for dialysis access, venous hypertension is a well-known complication. We used a supraclavicular approach in our two reported cases to remove the first rib to facilitate hemodialysis. Dialysis patients presenting with central venous stenosis should be assessed for evidence of extrinsic compression by the first rib as management options differ from those with central venous stenosis due to an intravenous catheter.
url	http://www.sciencedirect.com/science/article/pii/S2468428716300041
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First rib removal and decompression of the thoracic outlet as an indication to facilitate hemodialysis

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