Abstract
Vascular access complications are serious problems in chronic hemodialysis patients. We report a case of subclavian vein occlusion in vascular access limb that was treated with subclavian-subclavian vein crossover bypass. Right upper limb swelling appeared in 75-year-old man with chronic hemodialysis. The angiography showed subclavian vein occlusion. Though endovascular therapy was tried, the guide wire could not be passed through the subclavian vein occlusion. Then subclavian-subclavian vein crossover bypass was carried out. The procedure resulted in rapid resolution of the associated limb swelling.