Axillary Vein Rupture after Angioplasty

Valentin, Carl; Zangan, Steven

doi:10.1055/s-0029-1225673

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3,4,5 Various methods such as observation, balloon tamponade, stent or stent-graft were used in treating venous rupture, and they all indicated favourable outcomes. 3,13,17,18,19,20,21 In the case of using a bare stent, although bleeding through interstices of the stent can Open Access be suspected, these bleedings are very minimal and the use of the bare stent was effective in the management of venous rupture bleeding. Stent deployment is hypothesised to be effective and safe by providing a low-resistance conduit for blood flow in treating venous rupture.…”

Section: Discussionmentioning

confidence: 99%

“…7,9,10,11,12 However, there have been very few case reports about complications that may arise while performing PTA and stent placement for central venous stenosis or occlusion. 13 The purpose of this study is to investigate the incidence and management of central vein rupture that can occur while performing PTA for central vein stenosis or occlusion in the haemodialysis patient.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Central vein rupture during percutaneous transluminal angioplasty for central vein stenosis or occlusion in haemodialysis patients

et al. 2017

View full text Add to dashboard Cite

Background: Endovascular treatments such as percutaneous transluminal angioplasty (PTA) and stent placements are becoming the standard method in managing haemodialysis access failure. Venous rupture is the most common complication during endovascular procedures. Complications during endovascular treatments of central venous stenosis or occlusion have been rarely reported.Objectives: To investigate the incidence and management of central vein rupture while performing PTA for central vein stenosis or occlusion in haemodialysis patients.Method: Between 1998 and 2013, PTA was performed using various techniques in haemodialysis patients for central vein stenoses (n = 2437) and occlusions (n = 666). When the guide wire passed through the stenosis or the occlusion, PTA was performed regardless of the presence of a venous rupture. The incidence of central vein rupture was analysed using the chi-square test according to the gender, location, right versus left, presence of thrombosis and stenosis versus occlusion. Percutaneous management of central vein rupture was also evaluated.Results: Central vein rupture occurred in 12 cases (0.39%). All ruptures occurred in the cases with occlusion. Only stenosis versus occlusion reflected a significant correlation (p < 0.001) with central vein rupture. Central vein ruptures were managed by low-pressure balloon tamponade (n = 2), stent/stent-graft (n = 5) and balloon-mediated haemostasis blocking venous inflow followed by the observation (n = 5).Conclusion: Central vein rupture is a rarely occurring complication while performing PTA for central vein stenosis and occlusion, and the majority can be successfully managed by percutaneous techniques.

show abstract