The role of angioplasty in haemodialysis patients with symptomatic venous hypertension owing to central venous stenosis

2019 ◽  
Vol 38 (1) ◽  
pp. 19
Author(s):  
MahmoudS Eldesouky ◽  
HeshamA Greda ◽  
MohammedA Elbalshy
Keyword(s):  
Venous Hypertension ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis

scholarly journals Pulsatile tinnitus as a presenting symptom of central venous stenosis secondary to an ipsilateral upper arm arteriovenous PTFE graft

2019 ◽  
Vol 12 (7) ◽  
pp. e229398
Author(s):  
Lloyd Steele ◽  
David Flowers ◽  
Simon Coles ◽  
Paul Gibbs
Keyword(s):  
Cardiac Resynchronisation Therapy ◽  
Venous Hypertension ◽  
Ptfe Graft ◽  
Pulsatile Tinnitus ◽  
Central Venous ◽  
Upper Arm ◽  
Cardiac Device ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Arm Swelling

A 51-year-old man presented with a swollen left arm and unilateral pulsatile tinnitus 2 weeks after a left upper arm polytetrafluoroethylene graft was created for haemodialysis access. A fistulogram of the left upper arm showed a central venous stenosis and significant retrograde flow up the left internal jugular vein. Percutaneous transluminal angioplasty was attempted unsuccessfully and fistula ligation was subsequently performed. This led to immediate resolution of the tinnitus. The venous stenosis was likely secondary to a cardiac resynchronisation therapy defibrillator, which had been removed 1 year previously. Central venous stenosis is a common but often asymptomatic complication of a cardiac device, with the exception of patients with upper extremity arteriovenous fistulas, who frequently develop symptomatic venous hypertension. This generally presents with ipsilateral arm swelling and/or high venous pressures during dialysis. To our knowledge, this is the first report of pulsatile tinnitus arising in this context.

Cerebral hyperperfusion and other consequences of hemodialysis central vein catheters

2017 ◽  
Vol 18 (1_suppl) ◽  
pp. S82-S83 ◽  
Author(s):  
Haimanot Wasse
Keyword(s):  
Case Reports ◽  
Venous Catheter ◽  
Venous Hypertension ◽  
Central Vein ◽  
Central Venous ◽  
Venous Circulation ◽  
Central Venous Stenosis ◽  
Cerebral Hyperperfusion ◽  
Venous Stenosis ◽  
Stage Renal Disease

While central venous stenosis is a common consequence of protracted central venous catheter use, intracardiac device transvenous leads, and central venous instrumentation, the majority of patients who develop symptomatic central venous stenosis present with characteristic venous hypertension. However, some patients may develop an abnormal intracranial venous circulation and present with neurologic symptoms. This paper will summarize findings from case reports that describe the neurologic sequelae that can develop as a result of central venous stenosis/occlusion in end-stage renal disease patients with a functional arteriovenous access.

Surgical removal of a foreshortened right innominate vein Wallstent causing venous outflow obstruction

Vascular ◽  
2022 ◽  
pp. 170853812110689
Author(s):  
Kristin Schafer ◽  
Eric Goldschmidt ◽  
Andrew Seiwert
Keyword(s):  
Upper Extremity ◽  
Venous Hypertension ◽  
Complete Relief ◽  
Surgical Removal ◽  
Central Venous ◽  
Outflow Obstruction ◽  
Venous Outflow ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Venous Outflow Obstruction

Objectives: Stenting of central venous stenosis to preserve upper extremity hemodialysis access is well-described, though upper extremity complications secondary to these stents are less frequently discussed. Methods: We present the case of a 43-year-old male with a right brachiocephalic fistula who developed symptoms of venous hypertension following placement of a Wallstent for central venous stenosis. Workup demonstrated venous outflow obstruction secondary to stent foreshortening into the right subclavian vein. Results: The Wallstent was removed in a piecemeal fashion using an open surgical technique and a HeRO graft was placed for dedicated fistula outflow with complete relief of the patient’s symptoms. Conclusion: In situations where a stent has migrated and endovascular removal is not possible, individual Wallstent fibers can be removed through a limited venotomy.

scholarly journals Parathyroidectomy in the presence of central venous stenosis

2013 ◽  
Vol 2013 (may17 1) ◽  
pp. bcr2012008392-bcr2012008392
Author(s):  
M. Megson
Keyword(s):  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis

Epistaxis as a Rare Complication of Catheter-Related Central Venous Stenosis

2009 ◽  
Vol 53 (3) ◽  
pp. 555-559 ◽  
Author(s):  
Jin-Ju Tsai ◽  
Ching-Chih Hsia ◽  
Dong-Ming Tsai ◽  
Wei-Tsung Chen ◽  
Yung-Hsuen Hsu
Keyword(s):  
Rare Complication ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis

scholarly journals Brachiocephalic Venoplasty and Stenting in patients with central venous stenosis

2021 ◽  
Author(s):  
Rajneesh Kumar Calton ◽  
Md Farhan Shikoh ◽  
Anish John Padiyara ◽  
Nivedita Rohini Calton ◽  
Jasmine Das ◽  
...  
Keyword(s):  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis

Hemodialysis Reliable Outflow graft: A valid option in patients with central venous stenosis

2020 ◽  
Vol 21 (6) ◽  
pp. 1023-1028
Author(s):  
Ana Carolina Figueiredo ◽  
Filipe Mira ◽  
Luís Rodrigues ◽  
Emanuel Ferreira ◽  
Nuno Oliveira ◽  
...  
Keyword(s):  
Vascular Access ◽  
Venous Catheter ◽  
Iliac Vein ◽  
Lower Limbs ◽  
Implantation Technique ◽  
Central Venous ◽  
Vein Thrombosis ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Outflow Graft

Introduction: Central venous stenosis can be the main obstacle to the creation of an autologous vascular access in the upper limbs. The Hemodialysis Reliable Outflow graft was developed to provide an upper limb vascular access option to such patients, avoiding alternative, less advantageous options, such as lower limb vascular accesses or central venous catheters. Its advantages include catheter avoidance and, in case of lower limbs accesses, reduction of the ischemic risk and iliac vein thrombosis, potentially compromising a future kidney transplant. Patients and methods: Revision of the clinical files of the four patients who were placed a Hemodialysis Reliable Outflow device in our Center, including demographic variables, implantation technique characteristics, surgical complications, episodes of infection and thrombosis of the access, and need to place a transitory central venous catheter to undergo hemodialysis treatment. Results: Four Hemodialysis Reliable Outflow grafts were placed, which resulted in a significant improvement in the dialysis efficacy in all patients, with a median raise in the Kt/V of 36.7%. Two cases needed thrombectomy, one of which was unsuccessful. The actual time of patency varies between 3 and 28 months. Conclusion: Our experience with the Hemodialysis Reliable Outflow device showed that it was a safe option for patients with central venous stenosis and was associated with good clinical and analytic outcomes.

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