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Long thoracic vein embolization for the treatment of breast edema associated with central venous occlusion and venous hypertension.
MedLine Citation:
PMID:  20119913     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose: Breast edema is a rare complication in hemodialysis patients with central venous occlusions. The present study sought to determine whether coil embolization of the long thoracic vein is an effective long-term treatment for this pathology. Methods: The study patients were 6 female hemodialysis patients whose primary clinical manifestation of central vein occlusion was breast edema. When conservative treatment (allowing collaterals to dilate over time), as well as recanalization of occlusions through angioplasty with or without stent placement, failed to alleviate symptoms, patients underwent coil embolization of the long (lateral) thoracic vein. Results: In 4 of the 6 cases, the breast edema was completely resolved without recurrence, while the other 2 patients experienced durable symptomatic improvement with only mild residual swelling. Average follow-up was 22 months. There were no adverse sequelae and none of the patients experienced increased swelling elsewhere following the coil embolization procedure. Conclusions: Coil embolization of the long thoracic vein effectively alleviates breast edema in hemodialysis patients with elevated venous hydrostatic pressure due to central venous occlusions.
Authors:
Gregg Arthur Miller; Alexander Friedman; Aleksandr Khariton; Manish C Jotwani; Yevgeny Savransky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of vascular access     Volume:  11     ISSN:  1129-7298     ISO Abbreviation:  J Vasc Access     Publication Date:    2010 Apr-Jun
Date Detail:
Created Date:  2010-06-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  115-21     Citation Subset:  IM    
Affiliation:
American Access Care of Brooklyn, Brooklyn, NY - USA.
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