Innominate vein stenosis in association with ipsilateral hyperdynamic brachiobasilic fistula causing ipsilateral limb and hemifacial swelling

Narendra, JB; Sreenivas, Jayaram; Karthikeyan, VS; Nagaraja, NH

doi:10.4103/0971-4065.194393

Cited by 2 publications

(4 citation statements)

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“…The association between patient demographics and the onset of central vein disease has not been well substantiated in literature, and sex, age, and comorbidities are possible prognostic variables that may predict disease progression. 16 Sex distribution was comparable in our study, whereas other earlier studies reported that women were more susceptible to CVL development than men. 16 – 18 Further, age at hemodialysis initiation was reported to provide a more comprehensive picture of the distribution of lesion onset.…”

Section: Discussionsupporting

confidence: 68%

“… 16 Sex distribution was comparable in our study, whereas other earlier studies reported that women were more susceptible to CVL development than men. 16 – 18 Further, age at hemodialysis initiation was reported to provide a more comprehensive picture of the distribution of lesion onset. 2 The mean age of patients at hemodialysis initiation in our study was 51.9 ± 14.9 years, which was found consistent with the age ranges reported in other studies.…”

Section: Discussionsupporting

confidence: 68%

“…Furthermore, the left IJV usually has a smaller cross-sectional area than the right IJV, and intimate endothelial contact is inevitable. 16 Laterality of insertion has consistently been reported to be a predictor of CVLs. 2 , 25 In our study, 26 of the 41 patients (about two-thirds) who underwent central vein catheterization developed an ipsilateral CVL.…”

Section: Discussionmentioning

confidence: 98%

“…Data on the most common sites of CVLs are inconsistent. 7 Although several studies reported that the SCV is the most frequent site of CVLs, 16 others identified the BCV as the most common site of CVLs. 6 In a recent study, it was reported that most CVLs occurred in the BCV, and stenotic lesions were four times more common than occlusive lesions.…”

Section: Discussionmentioning

confidence: 99%

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<p>Lesion Type Analysis of Hemodialysis Patients Who Underwent Endovascular Management for Symptomatic Central Venous Disease</p>

Aljarrah¹,

Allouh²,

Hallak³

et al. 2020

VHRM

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Purpose: Central venous lesions (CVLs) can adversely affect hemodialysis access maturation and maintenance, which in turn worsen patient morbidity and access circuit patency. In this study, we assessed several clinical variables, patient characteristics, and clinical consequences of symptomatic central vein stenosis and obstruction in patients who underwent renal replacement therapy in the form of hemodialysis. Patients and Methods: The medical records of all hemodialysis patients with clinically symptomatic CVLs who underwent digital subtraction angiography treatment at King Abdullah University Hospital between January 2017 and December 2019 were retrieved. Patient characteristics and the clinical and anatomical features of CVLs were analyzed retrospectively. Pearson's chi-square tests of association were used to identify and assess relationships between patient characteristics and CVLs. Results: The study cohort comprised 66 patients with end-stage renal disease who developed symptomatic central vein stenosis. Of the 66 patients, 56.1% were men, and their mean age was approximately 52 years. Most (62.1%) of the patients were determined to have a history of central catheter insertion into the jugular vein. Hypertension was the most common comorbidity (78.8%, p<0.001), followed by type 2 diabetes mellitus (47.0 %, p<0.01). The incidence of stenosis was found to be significantly higher in the brachiocephalic vein than in other central veins (43.9%, p<0.001). A repeated central catheter insertion in a patient was predictive of central venous occlusion (p<0.05). Stenotic lesions were found to be associated with a significantly higher success rate than occlusive lesions (91.2%, p<0.01). Conclusion: Multiple central venous catheters (CVCs) are found to be associated with occlusive CVLs and unfavorable recanalization outcomes. Multiple CVC should be avoided by creating a permanent vascular access in a timely fashion for patients with chronic kidney disease and by avoiding the ipsilateral insertion of CVC and AVF.

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Section: Discussionsupporting

confidence: 68%