Treatment of Central Venous Obstruction in the Dialysis Patient: Patient Considerations and Treatment Options

Kundu, Sanjoy; Modabber, Milad

doi:10.1016/j.jradnu.2011.03.004

Cited by 1 publication

(2 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patency 1 year after PTA and PTS is reported to be 40%–70% for venous stenoses and >70% for arterial stenoses 14,15 . PTA as well as PTS can be performed safely and are equivalent with respect to primary patency rates, but there is a trend towards higher patency rates for patients treated with PTA 16,17 . Conventional plain balloon angioplasty was the first endovascular technology and is still the first line treatment for venous stenosis 17 .…”

Section: Discussionmentioning

confidence: 99%

“…14,15 PTA as well as PTS can be performed safely and are equivalent with respect to primary patency rates, but there is a trend towards higher patency rates for patients treated with PTA. 16,17 Conventional plain balloon angioplasty was the first endovascular technology and is still the first line treatment for venous stenosis. 17 Repeated balloon inflations during 60 seconds are generally performed with an increasing balloon size (from 2 to 12 mm) at 4-12 atm.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Unilateral jugular vein stenosis in five horses and experience with percutaneous transluminal angioplasty

Paulussen

Decloedt

Vera

et al. 2021

Equine Veterinary Journal

View full text Add to dashboard Cite

Background: Venous stenosis, a possible cause of jugular dilatation and congestion, is well known in human medicine but has poorly been described in horses.Objective: To report unilateral jugular vein stenosis as a cause of jugular vein dilatation in horses and describe treatment by percutaneous transluminal angioplasty (PTA). Study design: Case report.Methods: Details of horses diagnosed with unilateral jugular stenosis were retrieved from medical records.Results: Five horses were presented with a non-painful, unilateral dilatation of the jugular vein of which two horses showed headshaking during exercise. In one horse an indwelling catheter had been used and jugular dilatation developed 4 weeks later.In the other horses, no intravenous injections had been administered in the months before jugular dilatation developed. Ultrasonographic examination revealed venous stenosis in all horses approximately 5-10 cm cranial to the thoracic inlet. The internal diameter at the level of this stenosis was only 1-3.1 mm. The length of the stenosis was about 15-19 mm with a markedly thickened intima and media on ultrasonography. After enoxaparin treatment, PTA was performed in three horses. During the procedure the stenotic vein was dilated three times with progressively increasing pressures up to 12 atm. The stenotic diameter increased to a maximum of 4.9 mm with improved jugular blood flow. Aftercare included anti-inflammatory and antithrombotic therapy. Conclusion: Jugular vein stenosis occurs in horses and should be included in the differential diagnoses of unilateral jugular vein dilatation. It may present in the absence of previous intravenous treatment. PTA of the jugular vein is feasible to improve jugular blood flow.

show abstract

Section: Discussionmentioning

confidence: 99%