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Massive arm edema following arteriovenous dialysis shunt creation in a patient with ipsilateral permanent pacemaker
Massive arm edema following arteriovenous dialysis shunt creation in a patient with ipsilateral permanent pacemaker
- Source :
- Journal of clinical ultrasound : JCU. 36(5)
- Publication Year :
- 2007
-
Abstract
- Asymptomatic subclavian vein occlusion following insertion of a permanent pacemaker (PPM) or implantable cardioverter-defibrillator (ICD) is not uncommon. We report a case of a dual-chamber PPM in a patient with an unrecognized left subclavian vein occlusion who developed massive left arm edema following ipsilateral implantation of an arteriovenous (AV) hemodialysis graft. We recommend that patients with pre-existing PPM or ICD leads who are in need of vascular access for hemodialysis should have the AV shunts placed in the contralateral arm. If this is unavoidable, then preoperative subclavian vein screening for patency should be mandatory, even in asymptomatic patients. Sonography is an appropriate initial test in such a situation. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2008
- Subjects :
- Male
medicine.medical_specialty
Pacemaker, Artificial
medicine.medical_treatment
Asymptomatic
Severity of Illness Index
Diagnosis, Differential
Arteriovenous Shunt, Surgical
Catheters, Indwelling
Renal Dialysis
Edema
Occlusion
medicine
Humans
Radiology, Nuclear Medicine and imaging
Ultrasonography, Doppler, Color
Aged
Venous Thrombosis
business.industry
Ultrasound
medicine.disease
Thrombosis
Surgery
cardiovascular system
Arm
Hemodialysis
Radiology
medicine.symptom
business
Subclavian vein
Shunt (electrical)
Subjects
Details
- ISSN :
- 00912751
- Volume :
- 36
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of clinical ultrasound : JCU
- Accession number :
- edsair.doi.dedup.....8d5a94fa2b8db83112a5cca7973022d6