Bilateral central vein stenosis in a dialysis patient with a pacemaker.

Abstract

Central vein stenosis is not uncommon in hemodialysis-dependent patients as a result of mechanical damage to the vessel walls from prior cannulation. It can cause ipsilateral upper limb swelling and pain, resulting in suboptimal hemodialysis. It is unfortunate for bilateral central vein stenosis to develop concomitantly, and rare in the setting of an in-situ pacemaker. This case illustrates the successful ligation of a nondependent left arteriovenous fistula and stenting of the right subclavian vein with functioning ipsilateral arteriovenous fistula, to overcome the problem of symptomatic bilateral upper limb swelling.

• Authors: Kuan Leong Yew, Steven Anderson, Razali Farah, Siong Hee Lim
• Journal: Asian cardiovascular & thoracic annals (Asian Cardiovasc Thorac Ann) Vol. 22 Issue 8 Pg. 979-80 (Oct 2014) ISSN: 1816-5370 [Electronic] England
• PMID: 24887840 (Publication Type: Case Reports, Journal Article)
• Copyright: © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Topics

• Aged
• Arteriovenous Shunt, Surgical (adverse effects)
• Bradycardia (complications, diagnosis, therapy)
• Cardiac Pacing, Artificial
• Catheterization, Central Venous
• Constriction, Pathologic
• Endovascular Procedures (instrumentation)
• Equipment Design
• Hemodynamics
• Humans
• Kidney Failure, Chronic (complications, diagnosis, therapy)
• Ligation
• Male
• Pacemaker, Artificial (adverse effects)
• Phlebography
• Renal Dialysis
• Reoperation
• Stents
• Subclavian Vein (diagnostic imaging, injuries, physiopathology)
• Treatment Outcome
• Upper Extremity (blood supply)
• Vascular System Injuries (diagnosis, etiology, physiopathology, therapy)