{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:12:03Z","timestamp":1777936323841,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Cephalic arch stenosis (CAS) is a well-recognized complication associated with brachiocephalic arteriovenous fistulas (BCAVFs), often necessitating intervention when symptomatic due to elevated venous pressures. We report the case of a 58-year-old lady with end-stage renal disease undergoing long-term hemodialysis via a left-sided BCAVF. She presented with progressively increased bleeding from puncture sites following dialysis sessions attributed to cephalic arch stenosis .A fistulography revealed a tortuous, zigzag-shaped stenosis at the terminal segment of the cephalic vein near the cephalo-axillary junction. The patient underwent a surgical resection of the stenotic segment and end-to-side reimplantation of the cephalic vein onto the axillary vein, through a single infraclavicular incision. The procedure was well tolerated. Postoperative outcomes included a marked reduction in venous pressures and resolution of symptoms, with stable fistula function over a 9-month follow-up period. This report highlights a novel surgical approach to cephalic arch stenosis, detailing its indications and potential advantages.<\/jats:p>","DOI":"10.1177\/11297298251359033","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T05:21:19Z","timestamp":1754025679000},"page":"781-788","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cephalic vein reimplantation for treating cephalic arch stenosis: A novel surgical approach"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1983-3024","authenticated-orcid":false,"given":"Jithin","family":"Jagan Sebastian","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SRM Institutes for Medical Science, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bricilla","family":"Gnana Preethe","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SRM Institutes for Medical Science, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sairam","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SRM Institutes for Medical Science, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.04.037"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2023.2176166"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2007.00388.x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.04.046"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.5758\/vsi.240015"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211033519"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241264583"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000291"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12085"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijn.IJN_321_16"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.05.116"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000802"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251359033","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298251359033","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251359033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:27:11Z","timestamp":1777692431000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298251359033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,31]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/11297298251359033"],"URL":"https:\/\/doi.org\/10.1177\/11297298251359033","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,31]]}}}