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Figure 5: Venous hypertension in left upper limb with extensive collaterals over shoulder, computerized tomography documented stenosis at left internal jugular vein and brachiocephalic vein, digital subtraction angiography documented a well-functioning side to end brachiocephalic fistula with extensive collaterals at the elbow, angioembolisation done and check angiogram revealed closure of arteriovenous fistula and upper limb edema disappeared in 48 h

Figure 5: Venous hypertension in left upper limb with extensive collaterals over shoulder, computerized tomography documented stenosis at left internal jugular vein and brachiocephalic vein, digital subtraction angiography documented a well-functioning side to end brachiocephalic fistula with extensive collaterals at the elbow, angioembolisation done and check angiogram revealed closure of arteriovenous fistula and upper limb edema disappeared in 48 h