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      Venous Thoracic Outlet Syndrome Simulating Subclavian Stenosis in a Hemodialysis Patient

      American Journal of Nephrology

      S. Karger AG

      Hemodialysis, Subclavian stenosis

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          Abstract

          Hemodialysis-associated subclavian venous stenosis should be suspected when upper extremity edema occurs after a graft or fistula has been placed there. Alternatively, venous thoracic outlet syndrome could also produce venous congestion, simulating subclavian stenosis. The latter diagnosis was unsuspected until central subclavian vein obstruction on venography became complete, with the arm passively hyperabducted. The patient’s symptoms resolved after surgical decompression. Causes of thoracic outlet obstruction are reviewed.

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          Author and article information

          Journal
          AJN
          Am J Nephrol
          10.1159/issn.0250-8095
          American Journal of Nephrology
          S. Karger AG
          0250-8095
          1421-9670
          1998
          December 1998
          09 December 1998
          : 18
          : 6
          : 562-564
          Affiliations
          Beth Israel Deaconess Hospital, Boston, Mass., USA
          Article
          13409 Am J Nephrol 1998;18:562–564
          10.1159/000013409
          9845838
          © 1998 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          Page count
          Figures: 1, References: 18, Pages: 3
          Product
          Self URI (application/pdf): https://www.karger.com/Article/Pdf/13409
          Categories
          Case Report

          Cardiovascular Medicine, Nephrology

          Hemodialysis, Subclavian stenosis

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