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Semin intervent Radiol 2022; 39(01): 051-055
DOI: 10.1055/s-0041-1742152
Review Article

Management of Central Venous Stenosis and Occlusion in Dialysis Patients

David M. Tabriz
1   Department of Vascular and Interventional Radiology, Rush University Medical Center, Chicago, Illinois
,
Bulent Arslan
1   Department of Vascular and Interventional Radiology, Rush University Medical Center, Chicago, Illinois
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Abstract

Central venous occlusions (CVOs) of the major intrathoracic veins (jugular, subclavian, brachiocephalic, superior vena cava) can cause debilitating symptoms, negatively impact arteriovenous fistula/graft function, or limit potential access creation options in end-stage kidney disease (ESKD) utilizing hemodialysis (HD). This review summarizes the incidence, pathophysiology, indications/contraindications, and management options of CVOs in the ESKD on HD population and concludes with considerations and examples when planning endovascular central recanalization procedures, which have risen as the first-line management when appropriate.

Keywords

central venous stenosis - recanalization - hemodialysis - superior vena cava - interventional radiology


Publikationsverlauf

Artikel online veröffentlicht:
18. Februar 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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