Related Experiment Video

Updated: Feb 3, 2026

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
05:28

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies

Published on: October 11, 2024

1.2K

Percutaneous intervention for symptomatic central vein stenosis in patients with upper limb arteriovenous dialysis

Ashwal Aj1, Abdul Razak Uk1, Padmakumar R1

  • 1Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India, India.

Indian Heart Journal
|November 6, 2018
PubMed

Insights

Endovascular therapy for central venous stenosis in dialysis patients is safe and technically successful. However, multiple interventions are often needed, and long-term patency rates remain suboptimal.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Nephrology

Background:

  • Central venous stenosis is a common complication in dialysis patients.
  • It significantly impacts the long-term function of arteriovenous access in the upper extremities.
  • Symptomatic stenosis can lead to significant ipsilateral limb edema.

Purpose of the Study:

  • To evaluate the feasibility and clinical success of endovascular treatment for symptomatic central venous stenosis.
  • To assess the outcomes in dialysis patients with upper limb vascular access and limb edema.

Main Methods:

  • Retrospective review of hemodialysis patients treated for central venous stenosis between January 2014 and January 2017.
  • Analysis of endovascular interventions including percutaneous transluminal angioplasty (PTA) with or without stenting.
  • Variable follow-up periods were recorded.

Main Results:

  • Ten patients underwent thirteen endovascular interventions with a 100% technical success rate.
  • Primary patency rates were 67% at 6 months and 33% at 12 months for PTA with stenting.
  • Assisted primary patency was 75% at 6 months, with no immediate complications.

Conclusions:

  • Endovascular therapy for central venous stenosis is a safe procedure with a low rate of technical failure.
  • The need for multiple interventions is common.
  • Long-term patency rates following endovascular treatment are not consistently favorable.

Keywords:
Arterio-venous fistulaCentral vein stenosisEndovascular treatmentPercutaneous transluminal angioplasty with stenting

More Related Videos

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis06:59

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Published on: August 26, 2025

594
Murine Model of Central Venous Stenosis using Aortocaval Fistula with an Outflow Stenosis06:17

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

Published on: July 11, 2019

7.9K

Related Concept Videos

Veins of Upper Limbs01:17

Veins of Upper Limbs

The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
4.2K
Veins of Lower Limbs01:15

Veins of Lower Limbs

The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
2.5K
Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.3K
Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
7.2K
Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
4.4K
Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
4.8K