Bilateral venous thoracic outlet syndrome in a haemodialysis patient with long‐standing body building activities

Basile, Carlo; Giordano, Rosaria; Montanaro, Alessio; Lomonte, Carlo; Chiarulli, Giovanni

doi:10.1093/ndt/16.3.639-a

Cited by 8 publications

(7 citation statements)

References 5 publications

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“…The second assumption is that some of these stenoses may be attributed to extrinsic compression or thoracic outlet syndrome (TOS). 11,13,14 Several authors reported that left innominate vein (LIV) occlusion or stenosis was present in general persons without hemodialysis and central vein catheterization. [15][16][17] Crowded vascular anatomy in the upper mediastinum with relatively common structural variations predisposes to compression.…”

Section: Discussionmentioning

confidence: 99%

Venous stenosis in chronic dialysis patients with a well-functioning arteriovenous fistula

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Venous stenosis in chronic dialysis patients with a well-functioning arteriovenous fistula

et al. 2015

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“…X‐rays showed the presence of bilateral cervical ribs except in one patient. There are several case reports about bilateral vascular TOS,1, 6, 14, 18 but not of true neurogenic TOS. Nguyen et al12 described a patient with severe bilateral neurogenic TOS, whose symptoms were produced by bilateral rudimentary first ribs.…”

Section: Discussionmentioning

confidence: 99%

Bilateral neurogenic thoracic outlet syndrome

et al. 2003

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We report a case of bilateral neurogenic thoracic outlet syndrome (TOS). Electrophysiological examination suggested the presence of bilateral lower brachial plexus neuropathy. Radiography showed rudimentary bilateral cervical ribs. In the cases reported in the literature to date, the clinical findings are typically unilateral despite the common presence of bilateral bony abnormalities. Neurogenic TOS should be considered in young women, even if they present with bilateral symptoms, when they have occupations requiring strenuous activity of the upper limbs.

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“…4 In this patient, predominantly brachiocephalic stenosis, previous good response of the lesion to PTV, advanced age, history of prolonged central venous catheterization, and gradual onset of symptoms with no previous subclavian or axillary thrombosis, enabled exclusion of venous thoracic outlet obstruction.…”

Section: Discussionmentioning

confidence: 77%

Revascularization of an occluded brachiocephalic vein using Outback-LTD re-entry catheter

Gopinathan

Taneja

2010

Journal of Vascular Surgery

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A 78-year-old man with end-stage renal disease and a right brachial-cephalic upper arm direct hemodialysis access presented with symptomatic central venous occlusion. The right brachiocephalic vein occlusion in this patient was refractory to wire traversal. Sharp recanalization of the central venous occlusion was done with an Outback LTD re-entry catheter (Cordis Corporation, a Johnson & Johnson Company, Miami, Fla). The track was balloon dilated and stented. When the conventional management options fail, this technique may be used to salvage a precious dialysis access and to relieve the patient from symptoms of central venous hypertension.

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Bilateral venous thoracic outlet syndrome in a haemodialysis patient with long‐standing body building activities

Cited by 8 publications

References 5 publications

Venous stenosis in chronic dialysis patients with a well-functioning arteriovenous fistula

Venous stenosis in chronic dialysis patients with a well-functioning arteriovenous fistula

Bilateral neurogenic thoracic outlet syndrome

Revascularization of an occluded brachiocephalic vein using Outback-LTD re-entry catheter

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