Central venous stenosis in haemodialysis patients without a previous history of catheter placement

2005 ◽  
Vol 55 (2) ◽  
pp. 237-242 ◽  
Author(s):  
Levent Oguzkurt ◽  
Fahri Tercan ◽  
Sedat Yıldırım ◽  
Dilek Torun
Keyword(s):  
Previous History ◽  
Catheter Placement ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
History Of

scholarly journals Comparison of Management for Central Venous Stenosis With or Without Previous Catheter Placement

2021 ◽  
Vol 12 ◽  
Author(s):  
Wei Ma ◽  
Zhengde Zhao ◽  
Qining Fu ◽  
Liangzhu Hu ◽  
Xia Zhao ◽  
...  
Keyword(s):  
Patency Rate ◽  
Bare Metal Stent ◽  
Primary Patency ◽  
Catheter Placement ◽  
Bare Metal ◽  
Metal Stent ◽  
Central Venous ◽  
Primary Patency Rate ◽  
Central Venous Stenosis ◽  
Venous Stenosis

Objective: To compare central venous stenosis/occlusion with or without previous jugular catheter placement history.Methods: Data of patients with central vein stenosis/occlusion receiving endovascular intervention in our hospital from January 2015 to December 2018 were collected and analyzed.Results: Twenty-nine patients with previous jugular catheter placement history (CVC group) and 33 patients (excluded two with technical failure) without such history (non-CVC group) are included in this study. Previous jugular catheter placement history raised the risk of postintervention recurrence 1.02 times (CVC group vs. non-CVC group, HR = 2.02 95%CI: 0.91–4.48). The primary patency rate at 6, 12, 18, and 24 months was 76.9, 54.2, 45.5, and 25.0% separately in the CVC group and 80.6, 70.0, 67.9, and 44.4% separately in the non-CVC group. The assisted primary patency rate at 6, 12, 18, and 24 months was 92.3, 91.7, 86.4, and 68.8% separately in the CVC group and 93.5, 90.0, 82.1, and 61.1% separately in the non-CVC group. Patients in the CVC group received a higher frequency of reintervention (0.7 times/year/patient vs. 0.3 times/year/patient). There was no significant difference in the assisted primary patency rate between the two groups. Different primary interventions (angioplasty alone, bare metal stent, stent graft) did not affect primary patency and assisted primary patency, but percutaneous transluminal stenting (PTS) with a bare metal stent had a significant lower primary patency rate between 3 and 24 months compared with PTS with a stent graft (p = 0.011).Conclusion: Central venous stenosis/occlusion with a previous jugular catheter placement history develops symptoms earlier and had a worse prognosis after endovascular intervention. More efforts are needed to carry out end-stage kidney disease life plan to reduce the harm of evitable catheter placement.

scholarly journals Factors Related to the Success of Endovascular Therapy with Plain Old Balloon Angioplasty of Central Vein Stenosis in Haemodialysis Patients

2019 ◽  
Vol 1 (1) ◽  
pp. 6-9
Author(s):  
Akhmadu Muradi ◽  
Donie Firdhianto ◽  
Aria Kekalih
Keyword(s):  
Endovascular Therapy ◽  
Balloon Angioplasty ◽  
Catheter Placement ◽  
Central Vein ◽  
Dialysis Access ◽  
Central Venous ◽  
Hemodialysis Catheter ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Plain Old Balloon Angioplasty

Introduction: Central venous stenosis (CVS) or occlusion is a severe complication in hemodialysis patients, which significantly decreases the patency of all vascular dialysis access components, including arteries and branches, AV anastomosis, peripheral veins, and central veins. The main etiology of CVS is mostly secondary to the placement of temporary or permanent dialysis catheters in the subclavian vein, internal jugular vein, and femoral vein. Standard endovascular therapy for central venous stenosis is conventional balloon angioplasty. Method: This is a retrospective study using medical records from June 2013 to August 2018. Patients who underwent plain old balloon angioplasty (POBA) procedures in the CVS condition due to the installation of hemodialysis catheter access were included in this study. The analysis was performed to assess the characteristics and data distribution of each variable. Results: Significant factors related to the success of endovascular procedure in patients with central venous stenosis with POBA were the onset of clinical symptoms (<3 months; p <0.001), duration of catheter placement (<2.5 months; p <0.001), history of previous catheter placement (no more than once, p <0.001), initial stenosis (<80; p <0.001), and diameter of POBA (≥ 10 mm; p <0.001). Conclusion: Some factors influenced the success of the POBA procedure for overcoming CVS. The need to understanding the use of hemodialysis catheter access according to the guideline is important. Keywords: central venous stenosis, endovascular therapy, plain old balloon angioplasty

Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion

2021 ◽  
Vol 14 (1) ◽  
pp. 45-56
Author(s):  
Hassan Lotfy ◽  
Aly Elemam ◽  
Wael Shaalan ◽  
Ahmed El Mahdi ◽  
Akram Ibrahim ◽  
...  
Keyword(s):  
Hemodialysis Patients ◽  
Catheter Placement ◽  
Midterm Results ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Tunneled Catheter

scholarly journals Central Venous Stenosis, Access Outcome and Survival in Patients undergoing Maintenance Hemodialysis

2019 ◽  
Vol 14 (3) ◽  
pp. 378-384 ◽  
Author(s):  
Anamika Adwaney ◽  
Charlotte Lim ◽  
Sarah Blakey ◽  
Neill Duncan ◽  
Damien R. Ashby
Keyword(s):  
Risk Factors ◽  
Proportional Hazards Model ◽  
Cox Proportional Hazards Model ◽  
Maintenance Hemodialysis ◽  
Dialysis Access ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Dialysis Vintage ◽  
History Of

Background and objectivesCentral venous catheters have traditionally provided access for urgent hemodialysis, but are also sometimes advocated as an option for older or more comorbid patients. Adverse effects of this type of dialysis access include central venous stenosis, for which the risk factors and consequences are incompletely understood.Design, setting, participants, & measurementsWe conducted two studies within the same population cohort, comprising all patients starting hemodialysis in a single center from January 2006 to December 2013. First, patients were retrospectively analyzed for the presence of central venous stenosis; their access outcomes are described and survival compared with matched controls drawn from the same population. Second, a subset of patients with a history of catheter access within this cohort was analyzed to determine risk factors for central venous stenosis.ResultsAmong 2811 patients, central venous stenosis was diagnosed in 120 (4.3%), at a median dialysis vintage of 2.9 (interquartile range, 1.8–4.6) years. Compared with matched controls, patients with central venous stenosis had similar survival (median 5.1 versus 5.2 years; P=0.54). Among a subset of 500 patients, all with a history of catheter use, 34 (6.8%) developed central venous stenosis, at a rate of 2.2 per 100 patient-years. The incidence of central venous stenosis was higher with larger number of previous catheters (relative risk [RR], 2.2; 95% confidence interval [95% CI]. 1.6 to 2.9), pacemaker insertion (RR, 3.9; 95% CI, 1.7 to 8.9), and was lower with older age (RR, 0.7 per decade; 95% CI, 0.6 to 0.8). In a Cox proportional hazards model, the catheter number, pacemaker, and younger age at dialysis initiation were all significant independent risk factors for central venous stenosis.ConclusionsCentral venous stenosis occurred in a minority of patients on hemodialysis, and was associated with compromised future access, but unchanged survival. Among patients with a history of catheter use, risk related to both the number of catheters and the total catheter duration, although nondialysis factors such as pacemakers were also important. Central venous stenosis risk was lower in older patients, supporting the selective use of tunneled catheters in this group.

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
Sign in / Sign up

Export Citation Format

Share Document