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Murine Model of Central Venous Stenosis using Aortocaval Fistula with an Outflow Stenosis
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Stenting of central venous stenoses and occlusions to maintain hemodialysis vascular access

A Hatzimpaloglou1, I Velissaris, I Gourasas

  • 1Artificial Kidney Department, AHEPA University Hospital, Thessaloniki, Greece.

The Journal of Vascular Access
|July 20, 2007
PubMed

Insights

Stenting central arm vein obstructions effectively restores hemodialysis access in patients. This intervention resolves venous hypertension and maintains vascular access, improving treatment outcomes.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • Central arm vein obstructions significantly impair hemodialysis access.
  • Venous hypertension caused by these obstructions compromises treatment efficacy.

Purpose of the Study:

  • To evaluate the effectiveness of stenting for treating central arm vein obstructions.
  • To assess the ability of stenting to maintain hemodialysis access on the affected side.

Main Methods:

  • Fifteen stainless steel stents (8 self-expanding, 7 balloon-expandable) were implanted in 10 hemodialysis patients.
  • Treatment targeted symptomatic central arm vein obstructions, including subclavian and innominate vein lesions and restenoses.

Main Results:

  • Successful stent deployment resolved symptoms and corrected venous hypertension in all patients.
  • Follow-up revealed a 70% cumulative primary patency rate at one and two years.
  • Complications included three restenoses and one occlusion within the first six months.

Conclusions:

  • Stenting subclavian and innominate venous stenoses and occlusions effectively addresses the underlying hemodynamics.
  • This procedure successfully prolongs functional hemodialysis access in the majority of patients.
Abstract

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