BACKGROUND: The most common cause of graft failure in @entity1 undergoing hemodialysis is outflow @entity1211 . Long-term compromise of venous central trunks must be resolved. PURPOSE: This study was undertaken to evaluate an unusual surgical option, bypass to decompress a long-term vascular graft to the femoral vein, improving venous outflow, alleviating symptoms of @entity101 , and restoring vascular integrity for dialysis. @entity1 AND METHODS: The study included 3 @entity1 with @entity454 with signs and symptoms of dysfunctioning grafts. Angiographic studies showed occlusion or stricture of the central venous tract and venous outflow compromise. All @entity1 had multiple temporary and long-term vascular access sites for hemodialysis, which were revised several times. Venous decompression was performed with a bridge to the ipsilateral femoral vein. A 6 mm reinforced @entity736 graft was tunneled subcutaneously along the thoracoabdominal wall. @entity1 were released 48 hours after the procedure, and periodic follow-up was carried out to detect changes in graft patency and function. RESULTS: There were no preoperative or intraoperative complications. Clear improvement in signs and symptoms of @entity101 were observed. Venous pressures decreased. Average follow-up was 16.3 months. In 1 @entity1 the new graft malfunctioned, and it was revised and repaired at 25 months. The presence of @entity1150 and @entity1151 required peritoneal dialysis. Two other @entity1 , with no change in graft patency, died of @entity66 . CONCLUSION: Decompression of the femoral vein enables preservation of vascular graft patency and improves symptoms of @entity101 .

Surgical treatment of hemodialysis-related central XXXX or occlusion: another option to maintain vascular access.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'PATIENTS'] @entity101 :: ('MESH:D006973', 'Disease') :: ['venous hypertension'] @entity66 :: ('MESH:D004194', 'Disease') :: ['concomitant disease'] @entity1151 :: ('MESH:D011655', 'Disease') :: ['pulmonary embolism'] @entity1150 :: ('MESH:D020246', 'Disease') :: ['deep venous thrombosis'] @entity736 :: ('CHEBI:53251', 'Chemical') :: ['polytetrafluoroethylene'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['venous stenosis'] @entity454 :: ('MESH:D007676', 'Disease') :: ['end-stage renal disease']
@entity1211 :: (MESH:D054556,Disease) :: ['venous stenosis']
