Surgical Removal of Endovascular Stent after Migration to the Right Ventricle Following Right Subclavian Vein Deployment for Treatment of Central Venous Stenosis
نویسندگان
چکیده
Central venous stenosis or occlusion occurs in 11-50% of hemodialysis patients with prior subclavian vein cannulation and ipsilateral fistula or shunt. Most patients are asymptomatic but some require treatment to reduce the risk of thrombosis and improve inadequate hemodialysis pressure. In these cases, endovascular intervention, including ballooning and stenting, is a feasible strategy for selected patents. We report an unusual case of a 40-year-old man on hemodialysis that underwent endovascular stenting to treat right subclavian vein stenosis and experienced stent migration to the right ventricle, requiring surgical removal.
منابع مشابه
Migrated Subclavian Venous Stent into the Right Atrium
Central venous stenosis or occlusion occurs in 11–50% of hemodialysis patients with prior subclavian vein cannulation and ipsilateral fistula or shunt. 1) Treatment for central venous stenosis includes percutaneous balloon angioplasty or stent implantation. Migration of intravenous stents is rare but it can be life-threatening. Migration of stents to the innominate vein, right atrium, right ven...
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[1] Ruesch S, Walder B, Tramèr MR. Complications of central venous catheters: internal jugular versus subclavian access—a systematic review. Critical Care Med 2002;30:454–60. [2] Scott WL. Complications associated with central venous catheters. A survey. Chest 1988;94:1221–24. [3] Huddy SP, McEwan A, Sabbat J, Parker DJ. Giant false aneurysm of the subclavian artery: an unusual complication of ...
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