FP657PATTERNS OF CENTRAL VENOUS OCCLUSIVE DISEASE AND OUTCOMES OF BALLOON ANGIOPLASTY IN CKD PATIENTS WITH FUNCTIONING AV FISTULA AND ARM SWELLING

Central venous occlusive disease is a common finding, especially in the dialysis population. The incidence of central venous occlusions is increasing, largely because of the expanded use of central venous catheters and pacer wires in the growing dialysis population. The clinical sequelae of central venous occlusions are highly variable and depend on the site of occlusion, the presence of collaterals, and the presence of an arteriovenous (AV) fistula on the affected side. Many patients have occult disease, but often the disease presents with failure of the AV access and swelling of the involved extremity, breast, neck, and face. Rarely, a pleural effusion may be present. This chapter discusses the use of Gore Excluder iliac limbs for some large central venous occlusions.

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Endovascular treatment to boost AV fistula maturation

The Journal of Vascular Access ◽

10.5301/jva.5000678 ◽

2017 ◽

Vol 18 (1_suppl) ◽

pp. S15-S18 ◽

Cited By ~ 1

Author(s):

Lars Kamper ◽

Patrick Haage

Keyword(s):

Endovascular Treatment ◽

Treatment Option ◽

Vascular Access ◽

Balloon Angioplasty ◽

Central Venous ◽

Arteriovenous Anastomosis ◽

Av Fistula ◽

Fistula Maturation ◽

Underlying Pathology

Impaired fistula maturation is associated with puncture-related complications, insufficient dialysis and potential permanent access failure. Non-maturation is frequently initiated by stenotic vascular access vessels comprising the outflow veins, the arteriovenous anastomosis and infrequently the inflow artery. Further findings in maturation protraction are central venous stenoses or accessory outflow veins. Depending on the underlying pathology, several endovascular approaches to boost fistula maturation are possible. To date standard balloon angioplasty remains the primary proven treatment option.

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Central Venous Occlusion in End-Stage Renal Failure—A Rare Mimic of Dural Arteriovenous Fistula (DAVF)

Journal of Stroke Medicine ◽

10.1177/25166085211016647 ◽

2021 ◽

Vol 4 (1) ◽

pp. 81-83

Author(s):

Sharath Kumar Goddu Govindappa ◽

Lakshminarayanapuram Gopal Viswanathan ◽

Shashidhar Kallappa Parameshwarappa ◽

Naveen Nayak ◽

Sujit Kumar ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Rare Complication ◽

Venous Occlusion ◽

Venous Hypertension ◽

Brachiocephalic Vein ◽

Central Venous ◽

Av Fistula ◽

Central Venous Occlusion ◽

End Stage

Intracerebral hemorrhage is a devastating form of stroke and is more common in patients with hypertension and renal disease. We present the case of a lady suffering from chronic kidney disease who presented with severe headache and aphasia. On evaluation, she was found to have an intraparenchymal hemorrhage in the left temporal lobe with prominent pial and dural veins suggestive of a dural arteriovenous fistula (DAVF). Subsequently, she was detected to have occlusion of the left brachiocephalic vein (LBCV), which resulted in venous hypertension and resulted in this rare complication. Angioplasty followed by stenting of the LBCV resulted in subsidence of her symptoms. We wish to highlight this unusual but treatable complication of limb AV fistula which can mimic intracranial DAVF.

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Techniques for Endovascular Recanalization of Supra-Aortic Trunks

Journal of Endovascular Therapy ◽

10.1177/152660289600300408 ◽

1996 ◽

Vol 3 (4) ◽

pp. 405-413 ◽

Cited By ~ 3

Author(s):

Frank J. Criado ◽

Mordechai Twena

Keyword(s):

Balloon Angioplasty ◽

High Flow ◽

Occlusive Disease ◽

Endovascular Recanalization ◽

Endovascular Interventions ◽

Atherosclerotic Occlusive Disease ◽

Angioplasty And Stenting ◽

Aortic Lesions

The supra-aortic arteries are no stranger to endovascular interventions. Since the 1980s, interventionists have been evaluating and refining the use of transluminal techniques for recanalizing stenotic and occlusive lesions in these large-bore, high-flow vessels. The authors present their methodologies for evaluating, selecting, and treating supra-aortic lesions with balloon angioplasty and stenting. Helpful suggestions are offered for optimizing the outcome of these endovascular approaches to atherosclerotic occlusive disease in the supra-aortic trunks.

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