Document Detail

Lower extremity arteriovenous fistula with central venous stenosis iliocaval stenting to treat venous outflow obstruction.
MedLine Citation:
PMID:  21093199     Owner:  NLM     Status:  MEDLINE    
Maintenance of hemodialysis access for end-stage renal disease continues to be a major challenge for vascular surgeons, nephrologists, and primary care physicians. This case report highlights the complication and treatment of lower extremity central venous stenosis, allowing continued dialysis access for a patient with limited remaining fistula options. This stenosis resulted from the prolonged use of a lower extremity central venous catheter. This case highlights the importance of imaging the central veins in obstruction of lower extremity fistulas. Once detected, as in the upper extremity, this can be effectively treated using balloon dilation and stenting.
Neil G Kumar; Michelle M Dugan; Karl A Illig; David L Gillespie
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-11-18
Journal Detail:
Title:  Journal of vascular surgery     Volume:  53     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-03-10     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  487-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Division of Vascular Surgery, Department of Surgery, University of Rochester Medical Center, School of Medicine and Dentistry, Rochester, NY 14642, USA.
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MeSH Terms
Angioplasty / instrumentation*
Arteriovenous Shunt, Surgical*
Catheterization, Central Venous / adverse effects*
Central Venous Pressure
Collateral Circulation
Constriction, Pathologic
Kidney Failure, Chronic / therapy*
Lower Extremity / blood supply*
Middle Aged
Regional Blood Flow
Renal Dialysis*
Treatment Outcome
Vena Cava, Inferior* / physiopathology,  radiography
Venous Thrombosis / etiology,  physiopathology,  radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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