Abstract
Stenosis of the subclavian vein induces swelling and pain of the upper extremity. In a hemodialysis patient, if an arterio-venous shunt is made on the stenotic, side the symptoms increase and it is difficult to use the AV shunt for hemodialysis.
We experienced two cases of stenosis of the right subclavian vein and operated by each method.
One method is rt. internal jugular vein to rt. subclavian vein bypass with an artificial vessel, and the other is rt. external jugular vein to rt. subclavian vein bypass with cutting of the rt. clavicle.
After the operation, decreased swelling and pain in the upper extremity were noticed in both cases. These results indicate that it is possible to use the AV shunt for hemodialysis.
By cutting the clavicle and removing it, we obtained a good operative view and anastomosis without grafts was made possible.
Further research is needed on operative and interventional methods for stenosis of the subclavian vein.
