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

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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Conversion of Arterio-Venous Access of Hemodialysis to Arterio-Arterial Access for Treatment of Venous hypertension with Central Venous Occlusion

Annals of Vascular Surgery ◽

10.1016/j.avsg.2021.03.010 ◽

2021 ◽

Author(s):

Tamer Khafagy ◽

Mohamed S. Abdelgawad ◽

Ahmed Eleshra ◽

Samer Regal ◽

Ehab Saad

Keyword(s):

Venous Access ◽

Venous Occlusion ◽

Venous Hypertension ◽

Central Venous ◽

Arterial Access ◽

Central Venous Occlusion

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An unusual cause of subacute airway obstruction in a hemodialysis patient with brachio‐cephalic arteriovenous fistula: A rare presentation of central venous occlusion

Hemodialysis International ◽

10.1111/hdi.12832 ◽

2020 ◽

Vol 24 (2) ◽

Author(s):

Muhammad Izzuddin Hamzan ◽

Ahmad Rizal Hamid ◽

Ahmad Sukari Halim ◽

Arman Zaharil Mat Saad

Keyword(s):

Airway Obstruction ◽

Arteriovenous Fistula ◽

Hemodialysis Patient ◽

Venous Occlusion ◽

Central Venous ◽

Rare Presentation ◽

Central Venous Occlusion

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Creation of a Successful Transposed Antecubital Radiocephalic Arteriovenous Fistula in Patient with Known Ipsilateral Modified Radical Mastectomy, Postoperative Radiation, and Proximal Central Venous Occlusion

Annals of Vascular Surgery ◽

10.1016/j.avsg.2015.10.013 ◽

2016 ◽

Vol 32 ◽

pp. 128.e15-128.e17

Author(s):

Aamna Mahnoor Ali ◽

Sadia Khan ◽

Majid Tayyarah

Keyword(s):

Arteriovenous Fistula ◽

Radical Mastectomy ◽

Venous Occlusion ◽

Postoperative Radiation ◽

Modified Radical Mastectomy ◽

Central Venous ◽

Central Venous Occlusion

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Long Thoracic Vein Embolization for the Treatment of Breast Edema Associated with Central Venous Occlusion and Venous Hypertension

The Journal of Vascular Access ◽

10.1177/112972981001100206 ◽

2010 ◽

Vol 11 (2) ◽

pp. 115-121 ◽

Cited By ~ 6

Author(s):

Gregg Arthur Miller ◽

Alexander Friedman ◽

Aleksandr Khariton ◽

Manish C. Jotwani ◽

Yevgeny Savransky

Keyword(s):

Coil Embolization ◽

Rare Complication ◽

Venous Occlusion ◽

Symptomatic Improvement ◽

Hemodialysis Patients ◽

Term Treatment ◽

Venous Hypertension ◽

Central Vein ◽

Central Venous ◽

Long Term Treatment

Purpose Breast edema is a rare complication in hemodialysis patients with central venous occlusions. The present study sought to determine whether coil embolization of the long thoracic vein is an effective long-term treatment for this pathology. Methods The study patients were 6 female hemodialysis patients whose primary clinical manifestation of central vein occlusion was breast edema. When conservative treatment (allowing collaterals to dilate over time), as well as recanalization of occlusions through angioplasty with or without stent placement, failed to alleviate symptoms, patients underwent coil embolization of the long (lateral) thoracic vein. Results In 4 of the 6 cases, the breast edema was completely resolved without recurrence, while the other 2 patients experienced durable symptomatic improvement with only mild residual swelling. Average follow-up was 22 months. There were no adverse sequelae and none of the patients experienced increased swelling elsewhere following the coil embolization procedure. Conclusions Coil embolization of the long thoracic vein effectively alleviates breast edema in hemodialysis patients with elevated venous hydrostatic pressure due to central venous occlusions.

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