Endovascular interventions for central vein stenosis

Kidney Research and Clinical Practice
Anil K Agarwal

Abstract

Central vein stenosis is common because of the placement of venous access and cardiac intravascular devices and compromises vascular access for dialysis. Endovascular intervention with angioplasty and/or stent placement is the preferred approach, but the results are suboptimal and limited. Primary patency after angioplasty alone is poor, but secondary patency can be maintained with repeated angioplasty. Stent placement is recommended for quick recurrence or elastic recoil of stenosis. Primary patency of stents is also poor, though covered stents have recently shown better patency than bare metal stents. Secondary patency requires repeated intervention. Recanalization of occluded central veins is tedious and not always successful. Placement of hybrid graft-catheter with a combined endovascular surgical approach can maintain patency in many cases. In the presence of debilitating symptoms, palliative approach with endovascular banding or occlusion of the access may be necessary. Prevention of central vein stenosis is the most desirable strategy.

References

Aug 1, 1988·Radiology·S GlanzS J Sclafani
Apr 1, 1994·Kidney International·E C KovalikS J Schwab
May 1, 1996·Journal of Vascular and Interventional Radiology : JVIR·M R SapovalJ C Gaux
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R DammersJ H Tordoir
Jan 9, 2004·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Chi-Jen ChangJong-Hwei S Pang
Mar 24, 2004·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Eva BuriánkováMiroslav Herman
Aug 13, 2004·Vascular and Endovascular Surgery·Scott M SurowiecMark G Davies
Oct 7, 2004·Journal of Vascular and Interventional Radiology : JVIR·Patrick Michael Vogel, Carol Parise
Jan 25, 2007·Seminars in Dialysis·Ivan D MayaMichael Allon
Jul 25, 2009·Journal of Vascular Surgery·Howard E KatzmanJeffery H Lawson
Jul 19, 2011·Journal of Vascular and Interventional Radiology : JVIR·Robert G JonesPeter L Riley
Oct 11, 2011·The Journal of Vascular Access·William C JenningsMichael A Lawless

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Citations

Oct 25, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Vinay Narasimha KrishnaMichael Allon
Oct 14, 2017·The Journal of Vascular Access·Gaetano AlfanoGianni Cappelli
Nov 8, 2018·Annals of Vascular Diseases·Gary Andrew CuthbertGlenn Wei Long Tan
May 15, 2020·Journal of the Belgian Society of Radiology·Keerati HongsakulUssanee Boonsrirat
Jan 17, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Daisy M ProkschJean M Panneton

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Methods Mentioned

BETA
percutaneous angioplasty
surgical bypass

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