1. Successful stent implantation in the internal jugular vein occlusion using Brockenbrough needle under intravascular ultrasound guidance leading to prevention of vision loss in a hemodialysis patient with neovascular glaucoma
- Author
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Takayuki Shimizu, Satoru Takaesu, Naohiko Nemoto, Tomoyuki Yaguchi, Yoshinori Nagashima, Tatsunori Noto, and Hitoshi Anzai
- Subjects
medicine.medical_specialty ,Intraocular pressure ,genetic structures ,medicine.medical_treatment ,Case Report ,030204 cardiovascular system & hematology ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Intravascular ultrasound ,Occlusion ,Medicine ,Stent implantation ,030212 general & internal medicine ,Internal jugular vein ,medicine.diagnostic_test ,business.industry ,Stent ,eye diseases ,Surgery ,Cardiology ,sense organs ,Hemodialysis ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
Central venous occlusion (CVO) remains an unresolved issue in hemodialysis patients. We herein present an interesting case of a 42-year-old hemodialysis female patient with complete vision loss in the left eye, who was at high risk of losing vision in her right eye because of neovascular glaucoma (NVG). Computed tomography (CT) showed occlusion of the right internal jugular vein (IJV) just above the junction with the right innominate vein. From the configuration and location of the lesion, it was concluded the occlusion had been caused by venous valvular degeneration. Her NVG with progressive intraocular pressure (IOP) elevation was presumably attributed to the right IJV occlusion. The extra-rigid occlusive lesion was successfully penetrated by means of a Brockenbrough needle and subsequently implanted with a balloon-expandable stent. Intravascular ultrasound (IVUS) guidance allowed us to manipulate the Brockenbrough needle safely. After stent implantation, the right IOP declined dramatically, resulting in the preservation of her eyesight.
- Published
- 2021
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