Lower extremity arteriovenous fistula with central venous stenosis iliocaval stenting to treat venous outflow obstruction.

Abstract

Maintenance of hemodialysis access for end-stage renal disease continues to be a major challenge for vascular surgeons, nephrologists, and primary care physicians. This case report highlights the complication and treatment of lower extremity central venous stenosis, allowing continued dialysis access for a patient with limited remaining fistula options. This stenosis resulted from the prolonged use of a lower extremity central venous catheter. This case highlights the importance of imaging the central veins in obstruction of lower extremity fistulas. Once detected, as in the upper extremity, this can be effectively treated using balloon dilation and stenting.

• Authors: Neil G Kumar, Michelle M Dugan, Karl A Illig, David L Gillespie
• Journal: Journal of vascular surgery (J Vasc Surg) Vol. 53 Issue 2 Pg. 487-8 (Feb 2011) ISSN: 1097-6809 [Electronic] United States
• PMID: 21093199 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

Topics

• Angioplasty (instrumentation)
• Arteriovenous Shunt, Surgical
• Catheterization, Central Venous (adverse effects)
• Central Venous Pressure
• Collateral Circulation
• Constriction, Pathologic
• Humans
• Kidney Failure, Chronic (therapy)
• Lower Extremity (blood supply)
• Male
• Middle Aged
• Phlebography
• Regional Blood Flow
• Renal Dialysis
• Stents
• Treatment Outcome
• Vena Cava, Inferior (diagnostic imaging, physiopathology)
• Venous Thrombosis (diagnostic imaging, etiology, physiopathology, therapy)