Spontaneous Bleeding from Collateral Chest Wall Veins Is a Rare Complication of Arteriovenous Fistula with Central Venous Stenosis: A Case Report

2020 ◽  
Vol 25 (1) ◽  
pp. 44-47
Author(s):  
Mohammed Hassan Abdelaty
Keyword(s):  
Arteriovenous Fistula ◽  
Chest Wall ◽  
Rare Complication ◽  
Dialysis Patients ◽  
Central Venous ◽  
Spontaneous Bleeding ◽  
Surgical Ligation ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Life Threatening

Highlights Dialysis patients with arteriovenous fistula who have central venous stenosis develop collateral veins in the axilla and chest wall. These veins are at risk of spontaneous rupture, and major bleeding may occur. Bleeding should be controlled immediately by using a compression bandage, and patients should be resuscitated with fluids and blood transfusion before surgical ligation of the bleeder. Awareness of this complication and early protection can save the patient from life-threatening hemorrhage.

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 A mouse model of stenosis distal to an arteriovenous fistula recapitulates human central venous stenosis

2020 ◽  
Vol 1 ◽  
pp. 109-122
Author(s):  
Ryosuke Taniguchi ◽  
Shun Ono ◽  
Toshihiko Isaji ◽  
Jolanta Gorecka ◽  
Shin-Rong Lee ◽  
...  
Keyword(s):  
Mouse Model ◽  
Arteriovenous Fistula ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis

scholarly journals The novel use of the Haemodialysis reliable outflow graft (HeRo®) in intestinal failure patients with end-stage vascular access

2020 ◽  
pp. 112972982096197
Author(s):  
Fungai Dengu ◽  
James Hunter ◽  
Georgios Vrakas ◽  
James Gilbert
Keyword(s):  
Parenteral Nutrition ◽  
Vascular Access ◽  
Intestinal Failure ◽  
Case Series ◽  
Venous Access ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis ◽  
Life Threatening ◽  
End Stage

Intestinal failure (IF) patients are dependent on central venous access to receive parenteral nutrition. Longstanding central venous catheters are associated with life-threatening complications including infections and thromboses resulting in multiple line exchanges and the development ofprogressive central venous stenosis or occlusion. The Haemodialysis Reliable Outflow (HeRO) graft is an arterio-venous device that has been successfully used in haemodialysis patients with ‘end-stage vascular access’. We describe a case series of HeRO graft use in patients with IF and end-stage vascular access. Four HeRO grafts were inserted into IF patients with end-stage vascular access to facilitate or support intestinal transplantation. In all patients the HeRO facilitated immediate vascular access, supporting different combinations of parenteral nutrition, intravenous medications, fluids or renal replacement therapy with no bloodstream infections. In a highly complex group of IF patients with central venous stenosis/occlusion limiting conventional venous access or at risk of life-threatening catheter-related complications, a HeRO® graft can be a feasible alternative.

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

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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