Bilateral central vein stenosis in a dialysis patient with a pacemaker

Yew, Kuan Leong and Steven, Anderson and Farah, Razali and Lim, Siong Hee (2013) Bilateral central vein stenosis in a dialysis patient with a pacemaker. Asian Cardiovascular & Thoracic Annals, 22 (8). pp. 979-980. ISSN 0218-4923

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Official URL: https://journals.sagepub.com/doi/abs/10.1177/02184...

Abstract

Central vein stenosis is not uncommon in hemodialysis-dependent patients as a result of mechanical damage to the vessel walls from prior cannulation. It can cause ipsilateral upper limb swelling and pain, resulting in suboptimal hemodialysis. It is unfortunate for bilateral central vein stenosis to develop concomitantly, and rare in the setting of an in-situ pacemaker. This case illustrates the successful ligation of a nondependent left arteriovenous fistula and stenting of the right subclavian vein with functioning ipsilateral arteriovenous fistula, to overcome the problem of symptomatic bilateral upper limb swelling.

Item Type: Article
Uncontrolled Keywords: Bilateral central vein stenosis, dual chamber pacemaker, bilateral upper limbs swelling, subclavian vein stenting, arteriovenous fistula ligation, renal dialysis, arteriovenous shunt, catheters, indwelling, pathologic.
Subjects: R Medicine > RZ Other systems of medicine
Divisions: Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences
Faculties, Institutes, Centres > Faculty of Medicine and Health Sciences
Depositing User: Siong Hee
Date Deposited: 27 Nov 2023 01:17
Last Modified: 27 Nov 2023 01:17
URI: http://ir.unimas.my/id/eprint/43436

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