Back to Search
Start Over
Symptomatic superior vena cava syndrome in hemodialysis patients: mid-term results of primary stenting
- Source :
- Seminars in Vascular Surgery. 29:186-191
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- This clinical report details the results of endovascular treatment of symptomatic superior vena cava syndrome due to central vein stenosis or obstruction (CVSO) by stent angioplasty in patients with dialysis-dependent end-stage renal disease. A 3-year retrospective review of two institutional registries identified 25 chronic hemodialysis patients (17 men, 8 women) affected by CVSO who received endovascular treatment. The majority of the patients (n = 19) presented with symptomatic arm, breast, and facial swelling; and 6 patients presented with dialysis-access dysfunction and venous-line hypertension. The etiology of CVSO was before central venous catheter in all but 2 patients. Venography showed 19 cases of stenosis (4 stenoses of superior vena cava, 3 brachiocephalic, 10 subclavian, and 2 axillary veins) and 6 occlusions of the superior vena cava. After percutaneous transluminal angioplasty and primary stent angioplasty, there was an immediate regression of symptoms and arteriovenous fistula preservation in 21 cases; 4 patients received a new arteriovenous fistula after interventional treatment. No procedural major complications or patient deaths occurred. During the follow-up period, we recorded a primary patency rate of 95%, 80%, and 70%, respectively, at 6, 12, and 18 months; and a secondary patency rate of 100%, 95%, and 90%, respectively, at 6, 12, and 18 months. In conclusion, endovascular treatment with primary stenting has proven to be a durable treatment option for hemodialysis patients with CVSO, and this treatment should be considered before dialysis access placement in patients with catheter-induced central vein obstruction.
- Subjects :
- Male
Superior Vena Cava Syndrome
Time Factors
medicine.medical_treatment
Kaplan-Meier Estimate
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
0302 clinical medicine
Risk Factors
Registries
Superior vena cava syndrome
medicine.diagnostic_test
Graft Occlusion, Vascular
Middle Aged
Treatment Outcome
medicine.anatomical_structure
Italy
cardiovascular system
Female
Stents
Radiology
Hemodialysis
medicine.symptom
Cardiology and Cardiovascular Medicine
Central venous catheter
Catheterization, Central Venous
medicine.medical_specialty
Venography
Arteriovenous fistula
03 medical and health sciences
Arteriovenous Shunt, Surgical
Renal Dialysis
Superior vena cava
Angioplasty
medicine
Humans
cardiovascular diseases
Vein
Vascular Patency
Aged
Retrospective Studies
business.industry
Phlebography
medicine.disease
CENTRAL VENOUS OBSTRUCTION
SUBCLAVIAN VEIN STENOSIS
SINGLE-CENTER EXPERIENCE
VASCULAR ACCESS
FEMORAL VEIN
FOLLOW-UP
PLACEMENT
ANGIOPLASTY
CATHETER
COMPLICATION
Surgery
Kidney Failure, Chronic
business
Angioplasty, Balloon
Subjects
Details
- ISSN :
- 08957967
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Seminars in Vascular Surgery
- Accession number :
- edsair.doi.dedup.....6ecd7e4be96d23b4ecf2c92e26a17e19