Abstract
A retrograde venous drainage can compensate or replace a reduced or failing antegrade drainage of a graft-shunt following a stenosis or occlusion of the proximal draining vein. In case of a severe swelling of the arm, the hypertroph dilated retrograde draining vein can be used for the autologeous reconstruction of the antegrade drainage. Therefore the venous anastomosis of the graft-shunt should be performed as an end-to-side anastomosis without ligating the distal vein.
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