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Endovascular interventions for central vein stenosis

Central vein stenosis is common because of the placement of venous access and cardiac intravascular devices and compromises vascular access for dialysis. Endovascular intervention with angioplasty and/or stent placement is the preferred approach, but the results are suboptimal and limited. Primary p...

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Detalles Bibliográficos
Autor principal: Agarwal, Anil K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4688584/
https://www.ncbi.nlm.nih.gov/pubmed/26779426
http://dx.doi.org/10.1016/j.krcp.2015.10.005
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author Agarwal, Anil K.
author_facet Agarwal, Anil K.
author_sort Agarwal, Anil K.
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description Central vein stenosis is common because of the placement of venous access and cardiac intravascular devices and compromises vascular access for dialysis. Endovascular intervention with angioplasty and/or stent placement is the preferred approach, but the results are suboptimal and limited. Primary patency after angioplasty alone is poor, but secondary patency can be maintained with repeated angioplasty. Stent placement is recommended for quick recurrence or elastic recoil of stenosis. Primary patency of stents is also poor, though covered stents have recently shown better patency than bare metal stents. Secondary patency requires repeated intervention. Recanalization of occluded central veins is tedious and not always successful. Placement of hybrid graft-catheter with a combined endovascular surgical approach can maintain patency in many cases. In the presence of debilitating symptoms, palliative approach with endovascular banding or occlusion of the access may be necessary. Prevention of central vein stenosis is the most desirable strategy.
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spelling pubmed-46885842016-01-15 Endovascular interventions for central vein stenosis Agarwal, Anil K. Kidney Res Clin Pract Bench and Bedside - Bedside Central vein stenosis is common because of the placement of venous access and cardiac intravascular devices and compromises vascular access for dialysis. Endovascular intervention with angioplasty and/or stent placement is the preferred approach, but the results are suboptimal and limited. Primary patency after angioplasty alone is poor, but secondary patency can be maintained with repeated angioplasty. Stent placement is recommended for quick recurrence or elastic recoil of stenosis. Primary patency of stents is also poor, though covered stents have recently shown better patency than bare metal stents. Secondary patency requires repeated intervention. Recanalization of occluded central veins is tedious and not always successful. Placement of hybrid graft-catheter with a combined endovascular surgical approach can maintain patency in many cases. In the presence of debilitating symptoms, palliative approach with endovascular banding or occlusion of the access may be necessary. Prevention of central vein stenosis is the most desirable strategy. Elsevier 2015-12 2015-11-12 /pmc/articles/PMC4688584/ /pubmed/26779426 http://dx.doi.org/10.1016/j.krcp.2015.10.005 Text en Copyright © 2015. The Korean Society of Nephrology. Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Bench and Bedside - Bedside
Agarwal, Anil K.
Endovascular interventions for central vein stenosis
title Endovascular interventions for central vein stenosis
title_full Endovascular interventions for central vein stenosis
title_fullStr Endovascular interventions for central vein stenosis
title_full_unstemmed Endovascular interventions for central vein stenosis
title_short Endovascular interventions for central vein stenosis
title_sort endovascular interventions for central vein stenosis
topic Bench and Bedside - Bedside
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4688584/
https://www.ncbi.nlm.nih.gov/pubmed/26779426
http://dx.doi.org/10.1016/j.krcp.2015.10.005
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