Percutaneous intervention for symptomatic central vein stenosis in patients with upper limb arteriovenous dialysis access
| العنوان: | Percutaneous intervention for symptomatic central vein stenosis in patients with upper limb arteriovenous dialysis access |
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| المؤلفون: | Abdul Razak Uk, R Padmakumar, Umesh Pai, Sudhakar M, AJ Ashwal |
| المصدر: | Indian Heart Journal, Vol 70, Iss 5, Pp 690-698 (2018) Indian Heart Journal |
| بيانات النشر: | Elsevier, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Percutaneous, medicine.medical_treatment, Constriction, Pathologic, 030204 cardiovascular system & hematology, 030218 nuclear medicine & medical imaging, Dialysis access, 0302 clinical medicine, Risk Factors, Brachiocephalic Veins, Endovascular Procedures, Middle Aged, Interventional Cardiology, Percutaneous transluminal angioplasty with stenting, medicine.anatomical_structure, surgical procedures, operative, Upper limb, Female, Hemodialysis, Cardiology and Cardiovascular Medicine, Adult, medicine.medical_specialty, Catheterization, Central Venous, RD1-811, 03 medical and health sciences, Arteriovenous Shunt, Surgical, Renal Dialysis, medicine, Humans, Diseases of the circulatory (Cardiovascular) system, In patient, Endovascular treatment, Vein, Vascular Patency, Aged, Retrospective Studies, business.industry, medicine.disease, Surgery, Arterio-venous fistula, Stenosis, RC666-701, Central vein stenosis, Feasibility Studies, Kidney Failure, Chronic, business, Angioplasty, Balloon, Follow-Up Studies |
| الوصف: | Central venous stenosis is an important hindrance to long-term maintenance of arteriovenous access in the upper extremities in dialysis patients. Aim: The present study was done to determine feasibility and clinical success of endovascular approach for the treatment of symptomatic central venous stenosis associated with significant ipsilateral limb edema in dialysis patients with vascular access in the upper limb. Methods: A database of hemodialysis patients who underwent endovascular treatment for central venous stenosis from January 2014 to January 2017 at our institute was retrospectively reviewed. Follow-up was variable. Results: The study included ten patients (6 men and 4 women) with a mean age of 45.2 years, who underwent thirteen interventions during a period of 3 years. The technical success rate for endovascular treatment was 100%. One patient underwent primary PTA (percutaneous transluminal angioplasty). Seven patients underwent primary PTA and stenting. Three patients underwent secondary PTA. One among these patients underwent secondary PTA twice along with fistuloplasty. One patient underwent secondary PTA with stenting. No immediate complications were encountered during the procedure. Our study shows a primary patency rate of 67% and 33% at 6 months and 12 months for PTA with stenting. Our study also shows secondary or assisted primary patency of 75% at 6 months of follow-up. Conclusions: Endovascular therapy (PTA) with or without stenting for central venous stenosis is safe, with low rates of technical failure. Multiple additional interventions are the rule and long-term patency rate is not very good. Keywords: Central vein stenosis, Arterio-venous fistula, Endovascular treatment, Percutaneous transluminal angioplasty with stenting |
| اللغة: | English |
| تدمد: | 0019-4832 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::48a3dba21f918508aa2b7c58505aea35Test http://www.sciencedirect.com/science/article/pii/S0019483217304261Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....48a3dba21f918508aa2b7c58505aea35 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00194832 |
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