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김동건,최창식,윤효섭,남상협,류홍기 대한혈관외과학회 1993 Vascular Specialist International Vol.9 No.1
A case of left subclavian vein thrombosis which was complicated during hemodialysis using left forearm vein of distal arteriovenous fistula was presented. Axilloaxillary vein bypass graft effectively controlled the arm swelling, and the late occlusion of graft along with ligation of distal A-V fistula did not reproduce arm swelling by virtue of abundant build-up of collateral circulations. By reviewing the case, we could draw a proposal of an alternative treatment for this condition. Once the diagnosis of subclavian vein thrombosis is established, immediate axillo-axillary vein bypass graft(8 mm PTFE) with distal A-V fistula is made, which will effectively control the arm swelling. After several months of lapse, phlebogram of the arm is made and when this shows abundant collaterals, distal A-V fistula alone or both fistula and venous bypass graft can be ligated without reproducing uncomfortable arm swelling.