Central Venous Obstruction Management

Central venous obstruction management.

A major challenge in the management of hemodialysis patients is central venous stenosis and obstruction. Placement of central venous catheters has been shown to result in a high incidence of central venous stenosis or obstruction. There has been extensive literature on the treatment of this important and prevalent problem. Treatment options include percutaneous balloon angioplasty and bare meta...

Late displacement of central venous catheter resulting in vascular obstruction.

Superior vena caval obstruction following central venous cannulation.

A 42-year-old woman presented with end-stage renal failure secondary to reflux nephropathy in 1998. She was treated with haemodialysis after a brief attempt at peritoneal dialysis. Unfortunately, because of problems with arteriovenous fistulae, multiple central venous cannulations were required for dialysis. In June 2002, she presented with sudden onset facial swelling and distended veins over ...

Abdominal wall venous collaterals: the latent clinical sign for central chronic venous obstruction.

Patients with a postthrombotic syndrome, chronic venous insufficiency, or accelerated recurrent varicosities may suffer from a persistent central venous outflow obstruction. Therefore, it is important to recognize the clinical signs for central venous obstruction. Unfortunately, most physicians are not inclined to expose the groin and lower abdominal wall to search for these signs. Additionally...

Management of Bleeding in Extrahepatic Portal Venous Obstruction

Extrahepatic portal venous obstruction, although rare in the western world, is a common cause of major and life threatening upper gastrointestinal bleeding among the poor in developing countries. Patients have large spleens and stunted growth. The diagnosis is easily confirmed by Doppler ultrasonography. Endoscopy sclerotherapy is the best option for the control of acute variceal bleeding. For ...