| Use of a rosch-uchida needle for recanalization of refractory dialysis-related central vein occlusion. | |
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MedLine Citation:
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PMID: 20410425 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study was to evaluate our experience with the use of a R?sch-Uchida needle technique to recanalize central vein occlusion that cannot be traversed with a guidewire. MATERIALS AND METHODS: We retrospectively evaluated 33 recanalization procedures performed with a R?sch-Uchida needle on 20 men and 13 women with central vein occlusion during the period January 1999-December 2008. The occlusions were in the subclavian vein (n = 29) and the brachiocephalic vein (n = 4). A 9- or 10-French R?sch-Uchida introducer sheath was advanced centrally to abut the occlusion. The R?sch-Uchida needle was directed and advanced toward a transfemoral angiographic catheter placed on the central side of the occlusion. After passage of a guidewire through the occlusion, balloon angioplasty and stent insertion were performed. The outcome measures evaluated were technical success rate, primary and secondary patency, and complication rate. RESULTS: The mean occlusion length was 1.73 +/- 0.8 cm. The rate of technical success of recanalization was 93.9% (31 of 33 procedures). The 3-, 6-, and 12-month primary patency rates were 43.6%, 24%, and 8%, and the 3-, 6-, and 12-month secondary patency rates were 77.4%, 68.8% and 55.9%. One patient reported shoulder pain lasting 2 weeks, which resolved with conservative treatment. CONCLUSION: Use of a R?sch-Uchida needle to recanalize central vein occlusion refractory to a traditional procedure is feasible and safe and can preserve the involved extremity for long-term hemodialysis. |
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Authors:
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Dong Erk Goo; Yong Jae Kim; Deuk Lin Choi; Sung Il Park; Seung Boo Yang; Cheol Moon; Dan Song |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 194 ISSN: 1546-3141 ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-22 Completed Date: 2010-05-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
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Languages: eng Pagination: 1352-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Soonchunhyang University Hospital, 22 Daesagwan-gil, Yongsan-gu Seoul, 140-210, Republic of Korea. degoo@hosp.sch.ac.kr |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Catheterization, Peripheral / instrumentation*, methods Female Humans Male Middle Aged Needles* Renal Dialysis / adverse effects* Reperfusion / instrumentation*, methods Treatment Outcome Venous Thrombosis / etiology*, radiography, therapy* |
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