Document Detail

Percutaneous stenting of bilateral central venous occlusions in a hemodialysis patient.
MedLine Citation:
PMID:  17533524     Owner:  NLM     Status:  MEDLINE    
Upper-extremity central venous obstruction is often first recognized when an arteriovenous fistula is made for hemodialysis at an ipsilateral site. We encountered a case of markedly expanded edema after making an arteriovenous fistula in the left forearm. Systemic venography showed that the bilateral brachiocephalic veins and right subclavian vein were occluded. Implantation of a self-expandable stent in the left brachiocephalic vein relieved the edema. However, recurrence of similar edema and occlusion of the left brachiocephalic vein were noted after 1.5 years. The left brachiocephalic vein was then recanalized by ballooning and additional stent implantation, and a stent was implanted between the superior vena cava and right subclavian vein. Simultaneous reconstruction of the bilateral central venous obstruction by percutaneous intervention rather than surgical repair was suitable for this patient because of previous thoracoplasty. We also believe that this method can provide an opportunity to select the suitable forearm for making an arteriovenous fistula, in which the ipsilateral central vein will exhibit little restenosis.
Yoshinobu Murasato; Takuo Tsurugi; Kinya Hiroshige; Fumihiko Kamezaki; Hiroshi Suzuka; Kiyoshi Kawanami; Yoshiyuki Suzuki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-05-21
Journal Detail:
Title:  Heart and vessels     Volume:  22     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-29     Completed Date:  2007-10-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  193-8     Citation Subset:  IM    
Division of Cardiovascular Medicine, Chikuho Social Insurance Hospital, 765-1 Yamabe, Nogata, 822-0034, Japan.
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MeSH Terms
Arteriovenous Shunt, Surgical
Catheterization, Central Venous / adverse effects*
Catheters, Indwelling / adverse effects*
Device Removal
Graft Occlusion, Vascular / etiology*,  radiography,  therapy
Kidney Failure, Chronic / therapy
Renal Dialysis*

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

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