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Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies

Central venous stenosis is a significant and frequently encountered problem in managing hemodialysis (HD) patients. Venous hypertension, often accompanied by severe symptoms, undermines the integrity of the hemodialysis access circuit. In central venous stenosis, dialysis through an arteriovenous fi...

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Autores principales: Echefu, Gift, Stowe, Ifeoluwa, Lukan, Abdulkareem, Sharma, Gaurav, Basu-Ray, Indranill, Guidry, London, Schellack, Jon, Kumbala, Damodar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664753/
https://www.ncbi.nlm.nih.gov/pubmed/38022724
http://dx.doi.org/10.3389/fneph.2023.1280666
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author Echefu, Gift
Stowe, Ifeoluwa
Lukan, Abdulkareem
Sharma, Gaurav
Basu-Ray, Indranill
Guidry, London
Schellack, Jon
Kumbala, Damodar
author_facet Echefu, Gift
Stowe, Ifeoluwa
Lukan, Abdulkareem
Sharma, Gaurav
Basu-Ray, Indranill
Guidry, London
Schellack, Jon
Kumbala, Damodar
author_sort Echefu, Gift
collection PubMed
description Central venous stenosis is a significant and frequently encountered problem in managing hemodialysis (HD) patients. Venous hypertension, often accompanied by severe symptoms, undermines the integrity of the hemodialysis access circuit. In central venous stenosis, dialysis through an arteriovenous fistula is usually inefficient, with high recirculation rates and prolonged bleeding after dialysis. Central vein stenosis is a known complication of indwelling intravascular and cardiac devices, such as peripherally inserted central catheters, long-term cuffed hemodialysis catheters, and pacemaker wires. Hence, preventing this challenging condition requires minimization of central venous catheter use. Endovascular interventions are the primary approach for treating central vein stenosis. Percutaneous angioplasty and stent placement may reestablish vascular function in cases of elastic and recurrent lesions. Currently, there is no consensus on the optimal treatment, as existing management approaches have a wide range of patency rates.
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spelling pubmed-106647532023-11-09 Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies Echefu, Gift Stowe, Ifeoluwa Lukan, Abdulkareem Sharma, Gaurav Basu-Ray, Indranill Guidry, London Schellack, Jon Kumbala, Damodar Front Nephrol Nephrology Central venous stenosis is a significant and frequently encountered problem in managing hemodialysis (HD) patients. Venous hypertension, often accompanied by severe symptoms, undermines the integrity of the hemodialysis access circuit. In central venous stenosis, dialysis through an arteriovenous fistula is usually inefficient, with high recirculation rates and prolonged bleeding after dialysis. Central vein stenosis is a known complication of indwelling intravascular and cardiac devices, such as peripherally inserted central catheters, long-term cuffed hemodialysis catheters, and pacemaker wires. Hence, preventing this challenging condition requires minimization of central venous catheter use. Endovascular interventions are the primary approach for treating central vein stenosis. Percutaneous angioplasty and stent placement may reestablish vascular function in cases of elastic and recurrent lesions. Currently, there is no consensus on the optimal treatment, as existing management approaches have a wide range of patency rates. Frontiers Media S.A. 2023-11-09 /pmc/articles/PMC10664753/ /pubmed/38022724 http://dx.doi.org/10.3389/fneph.2023.1280666 Text en Copyright © 2023 Echefu, Stowe, Lukan, Sharma, Basu-Ray, Guidry, Schellack and Kumbala https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nephrology
Echefu, Gift
Stowe, Ifeoluwa
Lukan, Abdulkareem
Sharma, Gaurav
Basu-Ray, Indranill
Guidry, London
Schellack, Jon
Kumbala, Damodar
Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies
title Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies
title_full Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies
title_fullStr Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies
title_full_unstemmed Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies
title_short Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies
title_sort central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies
topic Nephrology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664753/
https://www.ncbi.nlm.nih.gov/pubmed/38022724
http://dx.doi.org/10.3389/fneph.2023.1280666
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