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Case Reports
Journal Article
Laser Recanalization of Central Venous Occlusion to Salvage a Threatened Arteriovenous Fistula.
Annals of Vascular Surgery 2018 July
Central venous occlusion is conventionally managed with balloon angioplasty, stent extension, or sharp recanalization. Here, we describe recanalization of a chronically occluded innominate vein using excimer laser after conventional techniques were unsuccessful. Patient clinical improvement and fistula patency have been sustained 2 years postintervention. This technique may provide new hemodialysis access options for patients who would not otherwise be candidates for hemodialysis access on the ipsilateral side of a central venous occlusion.
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