Comparison of Percutaneous Transluminal Angioplasty with Stenting for Treatment of Central Venous Stenosis or Occlusion in Hemodialysis Patients: A Systematic Review and Meta-analysis

Objective: To evaluate the treatment success rate of percutaneous transluminal angioplasty (balloon angioplasty) for peripheral and central venous stenosis in hemodialysis patients. Study Design: Retrospective/observational study. Place and Duration of Study: Department of Cardiology, Shaikh Zayed Hospital Lahore from 1st January 2018 to 30th June 2018. Methods: Thirteen patients of both genders presenting during from two years of hemodialysis failure and ipsilateral arm and neck swelling followed by peripheral and central venous stenosis were included in this study. Patients ages were ranging from 25 to 70 years. Patient’s detailed history including hemodialysis treatment, age, sex, socio-economic status was examined after taking informed consent from the patients. Percutaneous transluminal angioplasty (PTA) was performed at all the patients. Procedural success rate was examined. Results: There were 9 (69.23%) patients were men and rest (13.77%) were women. 5 (38.46%) patients were ages between 25 to 45 years, 6 (46.15%) patients had an ages 46 to 65 years and 2 (15.38%) patients were ages greater than 65 years. 10 (76.92%) had rural residency. 40 % patients had income >30000 PKR. Location and severity of lesions was examined as brachiocephalic vein, subclavian vein, Axillary vein, basilica, cephalic and median cubtal vein in 1,3,2,3,3 and 1 patients respectively. We determine priority patency rate in central lesion PTA was 82.7%, 62% and 38% at 3, 6 and 12 months and priority patency rate in peripheral lesions PTA was 87%, 79.5% and 67.8% at 3, 6 and 12 months. Conclusion: It is concluded that percutaneous transluminal angioplasty (balloon angioplasty) procedure for treatment of central and peripheral venous stenosis in hemodialysis patients was safe and effective with no procedural complications.

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Initial and long-term outcomes of Percutaneous Transluminal Angioplasty for central venous stenosis or occlusion in chronic hemodialysis patients: Analysis of 363 lesions in single center

Archives of Clinical Nephrology ◽

10.17352/acn.000051 ◽

2021 ◽

pp. 009-017

Author(s):

Horita Yuki ◽

Namura Masanobu ◽

Ikeda Masatoshi ◽

Terai Hidenobu ◽

Kimura Ryusuke ◽

...

Keyword(s):

Percutaneous Transluminal Angioplasty ◽

Hemodialysis Patients ◽

Transluminal Angioplasty ◽

Chronic Hemodialysis ◽

Single Center ◽

Long Term Outcomes ◽

Central Venous ◽

Central Venous Stenosis ◽

Percutaneous Transluminal

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Percutaneous transluminal angioplasty for central venous stenosis or occlusion in hemodialysis patients

The Journal of Vascular Access ◽

10.1177/1129729817747545 ◽

2018 ◽

Vol 20 (1_suppl) ◽

pp. 87-92 ◽

Cited By ~ 4

Author(s):

Yuki Horita

Keyword(s):

Percutaneous Transluminal Angioplasty ◽

Interventional Therapy ◽

Transluminal Angioplasty ◽

Radial Force ◽

Brachiocephalic Vein ◽

Central Venous ◽

Central Venous Stenosis ◽

Venous Stenosis ◽

The Right ◽

Percutaneous Transluminal

The objectives of central venous percutaneous transluminal angioplasty are to dilate the venous lesion and to extend the life of arteriovenous fistula for hemodialysis. It is reasonable to perform percutaneous transluminal angioplasty for central venous lesions if this interventional therapy is required to maintain stable dialysis therapy. However, the presence of large fresh thrombus at central venous lesion site represents a contraindication to percutaneous transluminal angioplasty unless the thrombus can first be removed by thrombectomy. Balloon angioplasty is a basic treatment for central venous lesion, but stent implantation is sometimes required. The self-expandable or balloon-expandable stent is chosen by the lesion location and characteristics. The lesion in subclavian vein is generally treated by self-expandable stent and right brachiocephalic vein is treated by balloon-expandable stent. The organic lesion of innominate vein with plaque is treated by self-expandable stent. Note that the innominate venous stenosis is sometimes caused by compression between the right brachiocephalic artery and the sternum, and this lesion is treated by balloon-expandable stent because the radial force of balloon-expandable stent is stronger than self-expandable stent. It is important to understand the indication and stent selection for central venous percutaneous transluminal angioplasty.

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Unmasking of Previously Asymptomatic Central Venous Stenosis following Percutaneous Transluminal Angioplasty of Hemodialysis Access

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2017.07.006 ◽

2017 ◽

Vol 28 (10) ◽

pp. 1409-1414 ◽

Cited By ~ 9

Author(s):

Jarrod M. Ehrie ◽

Therese E. Sammarco ◽

Jesse L. Chittams ◽

Scott O. Trerotola

Keyword(s):

Percutaneous Transluminal Angioplasty ◽

Transluminal Angioplasty ◽

Hemodialysis Access ◽

Central Venous ◽

Central Venous Stenosis ◽

Venous Stenosis ◽

Percutaneous Transluminal

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Association Between Disruption of Fibrin Sheaths Using Percutaneous Transluminal Angioplasty Balloons and Late Onset of Central Venous Stenosis

CardioVascular and Interventional Radiology ◽

10.1007/s00270-010-9875-1 ◽

2010 ◽

Vol 34 (1) ◽

pp. 114-119 ◽

Cited By ~ 4

Author(s):

Nina Ni ◽

Hamid Mojibian ◽

Jeffrey Pollak ◽

Michael Tal

Keyword(s):

Percutaneous Transluminal Angioplasty ◽

Late Onset ◽

Transluminal Angioplasty ◽

Central Venous ◽

Central Venous Stenosis ◽

Venous Stenosis ◽

Percutaneous Transluminal

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Percutaneous transluminal angioplasty procedure for central venous stenosis inpatient undergoing hemodialysis in Pelni Hospital: case series

Journal of Indonesia Vascular Access ◽

10.51559/jinava.v1i1.8 ◽

2021 ◽

Vol 1 (1) ◽

pp. 19-23

Author(s):

Muhammad Zaini Azwan ◽

Anak Agung Ngurah Nata Tresnawan Putra

Keyword(s):

Arteriovenous Fistula ◽

Vascular Access ◽

Percutaneous Transluminal Angioplasty ◽

Transluminal Angioplasty ◽

Central Venous ◽

Central Venous Stenosis ◽

Venous Stenosis ◽

Kidney Impairment ◽

Percutaneous Transluminal ◽

Percutaneous Transluminal Angiography

Introduction: Many causes leads to kidney impairment. This does not rule out the increasing number of patients undergoing hemodialysis. The common vascular access used during hemodialysis is an arteriovenous fistula (AVF). The arteriovenous fistula was preferred because it lasts longer and has a lower risk of infection for vascular access, meanwhile central venous stenosis or occlusion in the vein that carries the blood from the extremities to the heart often occur. If vascular access is still used during hemodialysis in which central venous stenosis is formed, it needs to make a new vascular access option. Percutaneous transluminal angiography (PTA) main objectives are to dilate the venous lesion that has occlusion more than 50% and extending the lifespan of arteriovenous fistula. In this case, we report six patients hemodialysis with central venous stenosis treated with percutaneous transluminal angiography. This procedure has benefits that are arteriovenous fistula can be used again to reach hemodialysis adequacy optimally and reduce pain and swelling in the arms. Case description: There six cases who were 45,48,57.58,63 and 66 years old who underwent percutaneous transluminal angioplasty procedures for central venous stenosis. Several past illnesses of the patients underlying the kidney impairment such chronic hypertension, chronic coronary heart complications, and/or diabetes. Several patients felt AVF swollen and/or painful. Minimal residual stenosis after balloon angioplasty was performed. Conclusion: According to our cases, patients that underwent the hemodialysis felt swollen or/and pain due to stenosis ballooning angioplasty help minimize the residual stenosis.

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