Vascular - Thoracic Outlet Syndrome AV Graft in Lower Limb for hemodialysis

1. CHALLENGING CASES IN
VASCULAR SURGERY
DR. JUNISH S BAGGA
Dept. of Vascular and Endovascular Surgery
1

2. CASE PRESENTATION
• 75 year male
• Known diabetic and hypertensive > 15 years
• CKD, on hemodialysis for last 2 years
• SIX failed AV fistulas on bot upper limbs
• Superior Vena Cava occlusion

4. FEMORO-FEMORAL AV ACCESS
E-PTFE GRAFT (LOOP CONFIGURATION)

9. CASE PRESENTATION
• 34 year Female
• Left upper limb weakness and loss of peripheral
pulse
• Diagnosed to have a cervical rib strangulating the
Subclavian artery
• Vascular TOS - 3-5%

10. Narrowed SCA

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