Central vein stenosis in a dialysis patient: a case report
نویسندگان
چکیده
INTRODUCTION Central vein stenosis is not a rare problem in patients on dialysis. Placement of a central vein catheter for dialysis access substantially increases the risk of central vein stenosis. However, even in patients without a previous history of central vein catheter placement, a stenosis can be found in up to 40% of patients. CASE PRESENTATION We report the case of a 60-year-old male Caucasian German dialysis patient who complained of dry cough, swelling of his right arm and facial edema. Computed tomography venography showed a near-total stenosis of his brachiocephalic vein. We discuss the incidence and risk of central vein stenosis in patients on dialysis and report on a successful minimally invasive interventional treatment. CONCLUSION Central vein stenosis is not a rare problem in patients on hemodialysis and can even occur without previous placement of central venous catheters. High shunt volumes seem to increase the risk associated with central vein catheters.
منابع مشابه
Symptomatic Central Venous Stenosis in a Hemodialysis Patient Leading to Loss of Arteriovenous Access: A Case Report and Literature Review
Central venous stenosis is a well-described sequel to the placement of hemodialysis catheters in the central venous system. The presence of an ipsilateral arteriovenous fistula or graft often leads to severe venous dilatation, arm edema and recurrent infections. Vascular access thrombosis, compromised blood flow and inadequate dialysis delivery are dreaded complications that eventually render t...
متن کاملThe axillary artery-popliteal vein extended polytetrafluoroethylene graft: a new technique for the complicated dialysis access patient.
It is essential to increase the level of awareness for the need to preserve the integrity of the venous system in the dialysis patient. Central venous stenosis is a major problem for this population, effectively excluding an affected individual from the safest and most efficacious form of vascular access—a native upper limb fistula. Amongst end-stage renal failure (ESRF) patients central venous...
متن کاملگزارش یک مورد(آناستوموز لارنگوتراکئال) در بیمار مبتلا به تنگی راه هوایی فوقانی به علت انتوباسیون طولانی مدتLaryngotracheal Anastomosis in a Patient with Upper Airway Stenosis Due to Prolonged Intubation: A Case Report
The most common cause of airway stenosis is prolonged intubation. Postintubation stenosis may be a delayed onset and may progress gradually. Endoscopic assessment and deciding to do a tracheostomy after 7 days is advised in adults. Segmented resection and primary anastomosis is the most effective modality of treatment for complete or near-complete tracheal stenosis. Surgeon’s ability for re...
متن کاملA catheter malpositioned patient with pain and paresthesia
We report a 54-year-old woman with the history of end-stage renal disease (ESRD) who was admitted to our hospital because of volume overload. Due to long-term use of peripheral veins and arteriovenous fistula (AVF) failure, central venous catheterization was the only choice for hemodialysis. She developed right upper extremiti’s pain and paresis during hemodialysis. A posteroanterior chest x-ra...
متن کاملCentral vein stenosis masquerading as venous thrombosis.
To cite: Vellalacheruvu N, Monigari N, Devasia T, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-203690 DESCRIPTION We present a 50-year-old man, a known case of chronic kidney disease stage 5 on maintenance haemodialysis (HD), who presented with acute onset swelling, redness, tenderness of the right arm and venous distension of the right side of the...
متن کامل