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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
08:05

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[Therapeutic attitude in postcatheterization symptomatic stenosis of the subclavian vein]

I Frikha1, M Gdoura, S Moalla

  • 1Service de Chirurgie Cardio-Vasculaire et Thoracique, CHU H. Bourguiba.

Annales De Cardiologie Et D'Angeiologie
|March 1, 1996
PubMed

Insights

Four women developed subclavian vein stenosis after hemodialysis due to catheter use. Surgical bypass procedures effectively treated this complication, restoring blood flow.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • Subclavian vein stenosis is a potential complication of long-term hemodialysis catheterization.
  • This condition can impede adequate dialysis treatment and lead to upper extremity swelling.

Observation:

  • Four female patients with a mean age of 36 years presented with subclavian vein stenosis.
  • Catheter dwell times ranged from 1 to 11 months prior to diagnosis.

Findings:

  • Diagnosis was confirmed using angiography or phlebography.
  • All four cases required surgical intervention, including various bypass techniques (axillo-internal jugular, internal jugular vein deviation, basilo-internal jugular, axillo-axillary).

Implications:

  • Surgical bypass is a viable treatment for hemodialysis-related subclavian vein stenosis.
  • Early diagnosis and intervention are crucial for managing this vascular complication.

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