Sage Journals: Discover world-class research

Abstract

A case of postiliac vein ligation, DVT recanalization, and its sequelae was suc cessfully treated 15 years after onset by a veno-venous crossover bypass with AV fistula. Previous reports on such a procedure were discouraging even when implemented within three years of on set. The inconsistent practice of venous revascularization is the main cause of failures. The advent of AV fistula con struction brings with it much hope for this kind of surgery.

This case report discusses hemody namic studies by phlebography, opera tive technique, and problems arising with the construction of AV fistula; the literature is reviewed as well. We con clude that venous reconstructions can be carried out at any time, provided that increased flow is maintained. This increase in flow (by the AV fistula) should be limited in time to avoid de velopment of reversed flow.

Get full access to this article

View all access options for this article.

References

Gillespie, J.A. : Modern Trends in Vascular Surgery. London, Butterworth, 1970, p. 75.

Lintin, R.R. : John Homan's impact on diseases of the veins of the lower extremity, with special reference to deep thrombophlebitis and the postthrombotic syndrome with ulceration. Surgery, 81: 1, 1977.

De Weese, J.A. , et al.: Thrombectomy in ileo-femoral thrombosis . Surgery, 47: 140, 1960.

Haller, J.A. : Deep Thrombophlebitis. London, Saunders, 1967.

Reul, G.J. , et al.: The early operative management of injuries to the great vessels . Surgery, 74: 862, 1973.

Kunlin, J. : The reestablishment of venous circulation with grafts in cases of obliteration from trauma or thrombophlebitis. Mem. Acad. Clin., 79: 109, 1953.

Waibel, P. : Operative treatment of varicose veins. Prog. Surg., 11: 1, 1973.

Schobinger, R.A. : Intra-osseous Venography. New York, Grune & Statton, 1960, p. 172.

Schereck, J.P. , et al.: The current status of vena caval replacement . Surgery, 76: 209, 1974.

10.

O'Donnell, T.F. , et al.: Deep vein thrombosis or not deep vein thrombosis—That is the question. Editorial. Surgery , 79: 607, 1976.

11.

Kakkar, V.V. , Nicolaides, A.N. , et al.: I125 labelled fibrinogen test adapted for routine screening of deep vein thrombosis. Lancet, 14: 450, 1970.

12.

Kunlin, J. , et al.: Venous revascularization. J. Cardiovasc. Surg. , 7: 520, 1966.

13.

Dale, W.A. : Chronic ileo-femoral occlusion including seven cases of cross-over vein grafting . Surgery, 59: 117, 1966.

14.

Hershey, F.B. , Calman, C.H. : Atlas of Vascular surgery. Second edition. St. Louis, C.V. Mosby, 1967, p. 267.

15.

Matsumoto, T. , et al.: The fate of inverted segment of small bowel used for the replacement of major veins. Surgery, 60: 739, 1966.

16.

Smith, C.A. , Schisgall, R.M. : The effect of a distal A-V fistula upon an autogenous vein graft in the venous system. J. Surg. Res. , 3: 412, 1963.

17.

Gerbode, F. , et al.: Experimental anastomosis of vessels to the heart, possible application to S.V.C. obstruction. Surgery, 25: 556, 1949.

18.

Bryant, M.F. , et al.: Experimental replacement of short segments of veins. Arch. Surg., 76: 289, 1958.

19.

Price Thomas, J.M. , et al.: Grafting of the major veins: The value of antithrombotic drugs to maintain patency. Br. J. Surg., 63: 189, 1976.

20.

Smith, C.A. , Schisgall, R.M. : The effect of a distal A-V fistula upon an autogenous vein graft in the venous system. J. Surg. Res. , 3: 412, 1963.

21.

Stansel, H.C. : Synthetic I.V.C. grafts. Arch. Surg., 89: 1096, 1964.

22.

Scheinin, T.M. , Jude, J.R. : Experimental replacement of the S.V.C.—Effect of temporary increase in blood flow. J. Thorac. Cardiovasc. Surg., 48: 781, 1964.

23.

Mitsuoka, H. , et al.: Experimental venous replacement utilizing the adjunct of a temporary A-V fistula. Arch. Surg., 93: 382, 1966.

24.

Johnson, V. , Eiseman, B. : Evaluation of A-V shunt to maintain patency of venous autografts. Am. J. Surg., 118: 915, 1969 .

25.

Matolo, N.M. , et al.: Use of an A-V fistula for treatment of the severely ischemic extremity. Ann. Surg., 184: 622, 1976.

Veno-Venous Bypass for Drainage of Occluded Common Iliac Vein: a Case Report

Abstract

Get full access to this article

References