ENDOVASCULAR MANAGEMENT OF CENTRAL VEIN LESIONS IN PATIENTS WITH LONG TERM HEMO-DIALYSIS THROUGH UPPER LIMB ARTERIO-VENOUS FISTULA- A SINGLE CENTRE RETROSPECTIVE STUDY.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 2
Abstract
Background: Central venous disease is a serious complication in patients undergoing hemodialysis, often presenting with symptoms of venous hypertension. Treatment is aimed to provide symptomatic relief and to maintain hemodialysis access site patency. Aim: To describe our initial experience in the endovascular treatment of central venous stenosis or obstruction in patients undergoing hemodialysis. Settings and Design: This was a retrospective study carried out in a tertiary care center. Study duration was 24 months. Follow up was variable. Materials and Methods: Fourteen patients of chronic renal failure undergoing hemodialysis presented with central vein stenosis or obstruction having ipsilateral vascular access, between January 2017 and December 2018. All the patients underwent endovascular treatment and were analyzed retrospectively. Results and Conclusion: A total of 14 patients (12 male and 2 female) underwent 18 interventions for 13 stenotic segments during a time period of 2 years. Ten stenotic segments were in brachiocephalic vein, four in subclavian vein. The technical success rate for endovascular treatment was 71.4%. All underwent percutaneous transluminal angioplasty (PTA) alone and four presented with restenosis later. Repeat Balloon angioplasty was done in four patients, two of which required >=2 reinterventions during follow up. We found endovascular treatment safe and effective in treating central venous disease.
Authors and Affiliations
M Bakthavatchalam, Balakumar a, Sasikumar Sakthivelan.
Keywords
Related Articles
- EP ID EP484226
- DOI 10.21474/IJAR01/8512
- Views 62
- Downloads 0
USEFULNESS OF NEUTROPHIL ELASTASE AND ENDOGENEOUS PROTEASE INHIBITOR IN ASSESSMENT OF SEVERITY OF PRE-ECLAMPSIA.
Background : (PE) is one of the main causes of maternal and fetal mortality and morbidity. PE is associated with an inflammatory state and with oxidative stress, in maternal circulation. Our aim was to evaluate and compa...
ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICES OF MCH COMPONENTS AMONG YOUNG MOTHERS.
A descriptive study was undertaken to Assess the mothers knowledge, attitudes and practices of MCH components at selected urban community, Sriramnagar, UPHC, Hyderabad ,Telangana. A sample of 500 mothers was chosen throu...
EVALUATING QUALITY OF LIFE OF PATIENTS WITH VARICOSE VEIN.
Varicose vein (VV) is worldwide problem that can affect both male and female, varicose veins are a common manifestation of venous incompetence in the lower limb. It was classified into trunk, reticular or telangiectasia...
WATERSHED IDENTIFICATION AND ITS EFFECT TOWARD FLOOD (CASE STUDY: MAKASSAR CITY).
The city of Makassar is located in Maros, Tabaringan, Tallo, Jeneberang and Gowa-Takalar watersheds and Makassar non-watershed areas.This area is located along the coast of Makassar City whose stream flow is directly mai...
A STUDY CONDUCTED FOR THE DETECTION OF HEPATITIS B VIRUS SEROPREVALANCE AND ASSOCIATED RISK FACTORS IN A TEACHING HOSPITAL MYSURU KARNATAKA.
Objectives and Aim:We performed a study on Seroprevelance of HBVandassociated risk factors among the patients attending a tertiary care hospital in India. Background:Globally,Hepatitis B is one of the most common infecti...