Permanent transvenous pacemaker implantation following percutaneous transluminal angioplasty in a patient with asymptomatic bilateral subclavian vein stenosis

2013 ◽  
Vol 68 (4) ◽  
pp. 449-451
Author(s):  
Özgür ÇiftçI ◽  
Murat Günday ◽  
Aytekin Güven
Keyword(s):  
Subclavian Vein ◽  
Percutaneous Transluminal Angioplasty ◽  
Pacemaker Implantation ◽  
Transluminal Angioplasty ◽  
Vein Stenosis ◽  
Percutaneous Transluminal

Percutaneous Transluminal Angioplasty in Chronic Total Subclavian Venous Stenosis Using Coronary Guidewire: A Case Report

2021 ◽  
Author(s):  
Todung D. A. Silalahi ◽  
Christopher S. Suwita
Keyword(s):  
Success Rate ◽  
Subclavian Vein ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Alternative Technique ◽  
Stent Deployment ◽  
Total Occlusion ◽  
Venous Stenosis ◽  
Lower Success Rate ◽  
Percutaneous Transluminal

AbstractArteriovenous fistula is the best permanent vascular access for hemodialysis (HD). However, in our country, HD catheter in jugular or subclavian vein is more commonly found because our patients prefer to hold HD until the complications are unbearable. The catheter increases risk of venous stenosis on site and in surrounding vessels, resulting in access loss. Percutaneous transluminal angioplasty (PTA), combined with stent deployment, can be utilized as main treatment for such stenosis in subclavian vein. This method dated back to two decades ago with high success rate. Nevertheless, reports or studies of angioplasty in total occlusion are scarce, mainly because of lower success rate and the need of smaller penetrating wire. We describe our experience in performing PTA and stent deployment using coronary wire to penetrate total occlusion in subclavian venous stenosis after vein cannulation. We hope that we can give an alternative technique to avoid surgery in such cases.

Solutions to stuck tunneled cuffed catheters in patients undergoing maintenance hemodialysis

2020 ◽  
pp. 112972982092816
Author(s):  
He Yongchun ◽  
Jiang Hua ◽  
Huang Xiaohan ◽  
Chen Jianghua ◽  
Zhang Ping
Keyword(s):  
Success Rate ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Maintenance Hemodialysis ◽  
Central Vein ◽  
Blunt Dissection ◽  
First Choice ◽  
Vein Stenosis ◽  
Percutaneous Transluminal

Objective: To study and discuss treatments for stuck tunneled cuffed catheter in patients undergoing maintenance hemodialysis. Method: Retrospectively analyzing clinical data of 13 patients with stuck tunneled cuffed catheter in the Kidney Disease Center of the First Affiliated Hospital, College of Medicine, Zhejiang University in the period between September 2012 and October 2018. All patients failed to remove hemodialysis catheters by regular technique. The stuck catheters were treated by thoracotomy, endoluminal percutaneous transluminal angioplasty with blunt dissection or embedded and left in situ. Results: In 13 patients, one was successfully treated by thoracotomy, one failed to remove the catheter by regular technique and blunt dissection, and the stump of the catheter was clamped and buried in the subcutaneous fascia of the neck, and the other 11 were treated by endoluminal percutaneous transluminal angioplasty with blunt dissection. The average time of catheter removal procedure is 25 min, the overall success rate is 92.3%, and the success rate of percutaneous transluminal angioplasty is 100%. Conclusion: Thoracotomy is an efficient way to treat stuck catheter but is limited by its high risk and complications. Leaving part of catheter in situ may increase the risk of central vein stenosis. Comparing to the former two, endoluminal percutaneous transluminal angioplasty is a safe, efficient, and practical way for stuck catheters and should be recommended as the first choice.

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