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Updated: Jun 4, 2026

Murine Model of Central Venous Stenosis using Aortocaval Fistula with an Outflow Stenosis
06:17

Murine Model of Central Venous Stenosis using Aortocaval Fistula with an Outflow Stenosis

Published on: July 11, 2019

Central venous obstruction management

Sanjoy Kundu1

  • 1Department of Medical Imaging, Scarborough Hospital, Toronto, Ontario, Canada.

Seminars in Interventional Radiology
|February 18, 2011
PubMed

Insights

Central venous stenosis is a common complication for hemodialysis patients due to catheter use. Current treatments like angioplasty and stents have limited success, highlighting the need for prevention.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • Central venous stenosis and obstruction pose significant challenges in managing hemodialysis patients.
  • Central venous catheter placement is a primary cause of this prevalent issue.
  • Existing treatments have variable patency rates, necessitating repeat interventions.

Purpose of the Study:

  • To review current treatment options for central venous stenosis and obstruction in hemodialysis patients.
  • To discuss the emerging role of covered stents in managing this condition.
  • To emphasize the importance of preventative strategies.

Main Methods:

  • Literature review of treatment modalities for central venous stenosis.
  • Analysis of outcomes for percutaneous balloon angioplasty, bare metal stents, and covered stents.
  • Discussion of preventative measures, focusing on limiting central venous catheter use.

Main Results:

  • Percutaneous balloon angioplasty and bare metal stents are established treatments but have limited long-term patency.
  • Covered stents show promise but require further investigation and randomized controlled trials.
  • Prevention through judicious use of central venous catheters is crucial.

Conclusions:

  • Further research, including randomized controlled trials, is essential to compare the efficacy of different treatment options.
  • Optimizing treatment strategies and exploring novel interventions like covered stents are necessary.
  • Limiting the use of central venous catheters is paramount for preventing central venous stenosis in hemodialysis patients.

Keywords:
Central venous obstructionbare metal stentscovered stentshemodialysispercutaneous balloon angioplasty

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