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  • Title: Use of a temporary shunt to preserve the patency of a hemodialysis graft while performing ipsilateral axillo-femoral bypass.
    Author: Argyriou C, Schoretsanitis N, Kantartzi K, Panagoutsos S, Souftas VD, Lazarides MK, Georgiadis GS.
    Journal: J Vasc Access; 2019 Sep; 20(5):553-556. PubMed ID: 30618343.
    Abstract:
    Increased blood flow in the subclavian artery feeding a vascular access for hemodialysis can rarely induce steal phenomena in the vertebral and internal mammary artery leading to potentially life-threatening conditions. On the contrary, transient interruption of blood flow in the subclavian artery feeding a dialysis arteriovenous fistula can theoretically induce access thrombosis. Here, we describe a technical maneuver preserving continuous ipsilateral upper arm access flow when constructing a unilateral axillo-femoral polytetrafluoroethylene bypass operation for critical limb ischemia in a hemodialysis patient.
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