Central vein stenosis in an Asian hemodialysis population

Thwaites, Stephen; Robless, Peter

doi:10.1177/0218492312449634

Cited by 14 publications

(16 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, COVD is rarely diagnosed until patients are unable to receive hemodialysis via vascular access or have severe upper limb edema that significantly affects daily life, which led to a situation in which most CVS patients had progressed to completely occlusion. It makes us available to screen the enough patients with complete vascular occlusion rigidly [20, 21]. Different from most of previous studies in which CVOD was defined as >50% stenosis and/or actually included some CVS patients, our definition of CVOD was strictly defined as complete vascular occlusion, where the original blood flow of outflow vein is completely blocked before treatment [22].…”

Section: Discussionmentioning

confidence: 99%

The feasibility and safety of a through-and-through wire technique for central venous occlusion in dialysis patients

Huang

Chen

Tan

et al. 2016

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundTo retrospectively compare the operation time, success rate and efficacy between unidirectional and bidirectional procedures in the treatment of central venous occlusion diseases (CVOD), assess the advantages of the bidirectional approach, and determine the characteristics of CVOD appropriate for the bidirectional approach treatment.MethodsA total of 49 patients who underwent endovascular interventions with all relevant data between January 2011 and December 2015 at the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China, were included in this retrospective study, and were categorized into two groups: the 19 patients in group 1 had undergone percutaneous transluminal venoplasty (PTV) via a conventional technique (unidirectional procedure from the vein distal or proximal to the obstructive lesion), and the 30 in group 2 had undergone flossing wire technique (bidirectional procedure from femoral vein and the vein distal to obstructive lesion and using a flossing wire technique). The technical success rate, the fluoroscopy time in the procedure, perioperative complications, and patency were evaluated retrospectively.ResultsCompared with group 1, group 2 had a higher initial technical success rate (83.33% vs. 47.36%, p = 0.012) but a shorter fluoroscopy time (82.6 ± 26.1 vs. 116.1 ± 42.1, p = 0.048). Receiver operating characteristic (ROC) analysis indicated that a lesion with a length of 6.5 cm was the best predictor of technique success (p = 0.02) in group 1, but no cut-off value was identified for group 2. There were no significant differences in perioperative complications between these two groups. The complication rates were 31.58% (6/19) in group 1 and 6.67% (2/30) in group 2, (p = 0.043), respectively. No significant difference was observed between these two groups with respect to the stent patency rate.ConclusionCompared with the conventional technique, the flossing wire technique has a higher success rate, shorter fluoroscopy time, fewer complications and similar patency rate. It is a feasible treatment for CVOD, especially for long obstructive lesions.

show abstract

Section: Discussionmentioning

confidence: 99%

The feasibility and safety of a through-and-through wire technique for central venous occlusion in dialysis patients

Huang

Chen

Tan

et al. 2016

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…Only 5.5% of subjects suffering from diabetes mellitus in this study, whereas in Asian populations with chronic kidney disease undergoing hemodialysis reported more than 60% had diabetes mellitus. 20 There was a significant association between the frequency of central venous catheter insertion and the occurrence of CVS. There is a 30fold risk of CVS occurring in patients with central venous catheter placement >2 times compared with those with <2 times.…”

Section: Discussionmentioning

confidence: 94%

“…Unfortunately, most subjects in this study were those who came requiring emergency hemodialysis. CVS defined as stenosis or occlusion of the subclavian vein or brachiocephalic vein or superior vena cava, 20 interferes with the hemodialysis circuit leading to venous hypertension and access flow dysfunction and may result in loss of access. 1,5,8 The CVS diagnosed based on the symptoms and venographic findings.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Duration and frequency of catheterization in central vein stenosis: A case control study

Suhartono

Supit

2019

NRJS

View full text Add to dashboard Cite

Introduction. Placement of the central vein catheterization (CVC) is a major risk factor for central vein stenosis (CVS). Repetitive endothelial exposures to the CVC results in inflammation, microthrombi formation, hyperplasia of the intima, fibrosis and thus development of CVS. The study aimed to find out the correlation between the duration and frequency of CVC in patients with CVS. Method. A matched case-control study was conducted in dr. Cipto Mangunkusumo General Hospital. Samples were taken from the medical record. Multivariate statistical comparisons were done using Chi-square tests. Results. Fifty-four out of 717 patients underwent CVC for hemodialysis had CVS. A total of 32 patients with CVS enrolled in the study with 128 non-CVS patients as a control. Duration of CVC >6 weeks does not increase the risk of CVS (p = 0.207), whilst the odds ratio of CVS on the frequency of CVC >2 times is 30 times compared to those underwent <2 times (p = <0.001). Conclusion. The frequency of CVC >2 times increased the risk of CVS. Longer duration of CVC for hemodialysis did not increase CVS rate.

show abstract

“…This also impacts on the placement of a temporary or permanent central venous catheter in the future. 4 The standard endovascular therapy for central venous stenosis is plain old balloon angioplasty (POBA). The reported primary patency rates of this technique at six months and 12 months were 45±8% and 29±8%.…”

Section: Introductionmentioning

confidence: 99%

Factors Related to the Success of Endovascular Therapy with Plain Old Balloon Angioplasty of Central Vein Stenosis in Haemodialysis Patients

Muradi

Firdhianto²,

Kekalih

2019

JINASVS

View full text Add to dashboard Cite

Introduction: Central venous stenosis (CVS) or occlusion is a severe complication in hemodialysis patients, which significantly decreases the patency of all vascular dialysis access components, including arteries and branches, AV anastomosis, peripheral veins, and central veins. The main etiology of CVS is mostly secondary to the placement of temporary or permanent dialysis catheters in the subclavian vein, internal jugular vein, and femoral vein. Standard endovascular therapy for central venous stenosis is conventional balloon angioplasty. Method: This is a retrospective study using medical records from June 2013 to August 2018. Patients who underwent plain old balloon angioplasty (POBA) procedures in the CVS condition due to the installation of hemodialysis catheter access were included in this study. The analysis was performed to assess the characteristics and data distribution of each variable. Results: Significant factors related to the success of endovascular procedure in patients with central venous stenosis with POBA were the onset of clinical symptoms (<3 months; p <0.001), duration of catheter placement (<2.5 months; p <0.001), history of previous catheter placement (no more than once, p <0.001), initial stenosis (<80; p <0.001), and diameter of POBA (≥ 10 mm; p <0.001). Conclusion: Some factors influenced the success of the POBA procedure for overcoming CVS. The need to understanding the use of hemodialysis catheter access according to the guideline is important. Keywords: central venous stenosis, endovascular therapy, plain old balloon angioplasty

show abstract

Central vein stenosis in an Asian hemodialysis population

Abstract: Central vein stenosis is associated with a higher frequency of hemodialysis catheter insertion and access surgery. Efforts to decrease permanent hemodialysis catheter use should reduce the incidence of central vein stenosis.

Cited by 14 publications

References 14 publications

The feasibility and safety of a through-and-through wire technique for central venous occlusion in dialysis patients

The feasibility and safety of a through-and-through wire technique for central venous occlusion in dialysis patients

Duration and frequency of catheterization in central vein stenosis: A case control study

Factors Related to the Success of Endovascular Therapy with Plain Old Balloon Angioplasty of Central Vein Stenosis in Haemodialysis Patients

Contact Info

Product

Resources

About