Unilateral jugular vein stenosis in five horses and experience with percutaneous transluminal angioplasty

2021 ◽  
Author(s):  
Ellen Paulussen ◽  
Annelies Decloedt ◽  
Lisse Vera ◽  
Laurence Lefere ◽  
Gunther Loon
Keyword(s):  
Percutaneous Transluminal Angioplasty ◽  
Jugular Vein ◽  
Transluminal Angioplasty ◽  
Vein Stenosis ◽  
Percutaneous Transluminal

Solutions to stuck tunneled cuffed catheters in patients undergoing maintenance hemodialysis

2020 ◽  
pp. 112972982092816
Author(s):  
He Yongchun ◽  
Jiang Hua ◽  
Huang Xiaohan ◽  
Chen Jianghua ◽  
Zhang Ping
Keyword(s):  
Success Rate ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Maintenance Hemodialysis ◽  
Central Vein ◽  
Blunt Dissection ◽  
First Choice ◽  
Vein Stenosis ◽  
Percutaneous Transluminal

Objective: To study and discuss treatments for stuck tunneled cuffed catheter in patients undergoing maintenance hemodialysis. Method: Retrospectively analyzing clinical data of 13 patients with stuck tunneled cuffed catheter in the Kidney Disease Center of the First Affiliated Hospital, College of Medicine, Zhejiang University in the period between September 2012 and October 2018. All patients failed to remove hemodialysis catheters by regular technique. The stuck catheters were treated by thoracotomy, endoluminal percutaneous transluminal angioplasty with blunt dissection or embedded and left in situ. Results: In 13 patients, one was successfully treated by thoracotomy, one failed to remove the catheter by regular technique and blunt dissection, and the stump of the catheter was clamped and buried in the subcutaneous fascia of the neck, and the other 11 were treated by endoluminal percutaneous transluminal angioplasty with blunt dissection. The average time of catheter removal procedure is 25 min, the overall success rate is 92.3%, and the success rate of percutaneous transluminal angioplasty is 100%. Conclusion: Thoracotomy is an efficient way to treat stuck catheter but is limited by its high risk and complications. Leaving part of catheter in situ may increase the risk of central vein stenosis. Comparing to the former two, endoluminal percutaneous transluminal angioplasty is a safe, efficient, and practical way for stuck catheters and should be recommended as the first choice.

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

2017 ◽  
Vol 21 (1) ◽  
Author(s):  
Young J. Kim ◽  
Seung B. Yang ◽  
Woong H. Lee ◽  
Yong J. Kim ◽  
Jae M. Lee ◽  
...  
Keyword(s):  
Percutaneous Transluminal Angioplasty ◽  
Guide Wire ◽  
Transluminal Angioplasty ◽  
Central Vein ◽  
Chi Square ◽  
Central Venous Stenosis ◽  
Chi Square Test ◽  
Vein Stenosis ◽  
Percutaneous Transluminal ◽  
Central Vein Stenosis

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.

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