Stenting of proximal venous obstructions to maintain hemodialysis access

Shoenfeld, Richard; Hermans, Howard; Novick, Andrew M.; Brener, Bruce J.; Eisenbud, David E.; Mody, Suresh; Goldenkranz, Robert J.; Parsonnet, Victor

doi:10.1016/s0741-5214(94)70082-6

Cited by 91 publications

(36 citation statements)

References 10 publications

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“…83,84,98,100 Results of these procedures in the subclavian and internal jugular veins are satisfactory, but subclavian stents may be complicated by the scissoring effects of the first rib and the clavicle, resulting in permanent deformation. A summary of these interventions over the past decade reported a 12-month patency ranging from 11% to 68% for central venous stents and 11% to 35% for PTA alone.…”

Section: Central Venous Stenosis or Occlusionmentioning

confidence: 99%

Complications of arteriovenous hemodialysis access: Recognition and management

Padberg

Calligaro

Sidawy³

2008

Journal of Vascular Surgery

211

262

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English language citations reporting complications of arteriovenous access for hemodialysis are critically reviewed and discussed. Venous hypertension, arterial steal syndrome, and high-output cardiac failure occur as a result of hemodynamic alterations potentiated by access flow. Uremic and diabetic neuropathies are common but may obfuscate recognition of potentially correctable problems such as compression or ischemic neuropathy. Mechanical complications include pseudoaneurysm, which may develop from a puncture hematoma, degeneration of the wall, or infection. Dysfunctional hemostasis, hemorrhage, noninfectious fluid collections, and access-related infections are, in part, manifestations of the adverse effects of uremia on the function of circulating hematologic elements. Impaired erythropoiesis is successfully managed with hormonal stimulation; perhaps, similar therapies can be devised to reverse platelet and leukocyte dysfunction and reduce bleeding and infectious complications.

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Section: Central Venous Stenosis or Occlusionmentioning

confidence: 99%

Complications of arteriovenous hemodialysis access: Recognition and management

Padberg

Calligaro

Sidawy³

2008

Journal of Vascular Surgery

211

262

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“…Some groups routinely perform stent placement for central venous stenosis; they have reported improved patency rates compared to those with PTA alone. 8,9) On the contrary, other groups reported that the primary patencies between angioplasty and stent were not significantly different. 10,11) Further, Ozyer et al 12) reported that stent placement for central venous stenosis or occlusion led to a significantly lower primary patency rate than PTA but added to the longevity of vein patency in angioplasty-resistant lesions; therefore, stent placement should be considered in such angioplasty-resistant lesions.…”

Section: Discussionmentioning

confidence: 93%

“…Endovascular treatment for central venous stenosis or occlusion is well-known as a safe and effective procedure in HD patients. [8][9][10][11][12] However, the optimal choice between PTA and stent placement in the management of central venous stenosis and occlusion still remains controversial. Some groups routinely perform stent placement for central venous stenosis; they have reported improved patency rates compared to those with PTA alone.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Stenting for Left Subclavian Venous Stenosis for a Hemodialysis Patient with a Persistent Left Superior Vena Cava

Matsumoto

Yamagami

Morishita

et al. 2012

Annals of Vascular Diseases

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A persistent left superior vena cava (PLSVC) is the most common thoracic venous anomaly, and we should be aware of its existence. We encountered a case of significant left arm swelling due to recurrent left subclavian venous stenosis in a hemodialysis patient with a PLSVC. Endovascular stent placement was performed safely and effectively for the stenosis employing the pull-through technique, in which a guidewire was passed from the left internal jugular vein to the access vein. On the following day, left arm swelling had improved. 3 months after stent placement the left arm swelling has not recurred.

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“…Venous hypertension due to stenosis or thrombosis distal to the AVF can usually be treated by the use of endovascular techniques 30,31 (Fig. 6).…”

Section: Discussionmentioning

confidence: 99%