35 year old male patient with CKD requiring hemodialysis via a LUE AV graft. He presents with left upper extremity swelling secondary to a left brachiocephalic vein occlusion.
Comment: This chronic occlusion was treated with stent placement. Unfortunately, the stent occluded within months of placement, necessitating placement of additional stents. This happened again a few months later, requiring angioplasty and covered stent placement.