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Pubmed for Handhelds

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  • Title: An interesting case: retrograde blood flow from a LIMA sustaining hemodialysis via an AVF.
    Author: Schoenkerman AB, Gimelli G, Yevzlin AS.
    Journal: Semin Dial; 2009; 22(5):566-8. PubMed ID: 19747173.
    Abstract:
    A case is described in which the inflow of a left radiocephalic arteriovenous fistula was being maintained by retrograde flow from a patent left internal mammary artery bypass graft, distal to a severe left subclavian artery stenosis. The clinical manifestations of this phenomenon were angina, lateral chest wall pain during dialysis, and distal hypoperfusion of the left hand. After stenting of the subclavian lesion, all symptoms resolved.
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