Central vein stenosis in patients on chronic hemodialysis, from etiology to treatment (Literature review)
Abstract
Central vein stenosis is a reason of dysfunction of vascular access in patients on chronic hemodialysis. This disease is widespread. A question how to treat these patients is open. The main reason of central vein stenosis is the use of hemodialysis catheters. Therefore, the only way to prevent a damage of central vein is the forming of arteriovenous fistula before start of chronical hemodialysis instead of using of hemodialysis catheters. As a rule, clinical signs (edema of ipsilateral upper extremity and breast, pain in an arm and the development of subcutaneous collaterals) appear after creation of fistula or graft. During a dialysis session, there are high venous pressures, increased recirculation and increased hemostasis time with the removal of the dialysis needles. Nowadays, there is no effective non-surgical method of treatment. The most informative methods of diagnosis are angiography and MSCT venography. Despite of high incidence of restenosis, endovascular intervention (balloon angioplasty and stenting) is the preferable method of correcting central vein stenosis to surgical one (various methods of bypass grafting). The article provides is some information about etiology, prophylaxis, diagnosis and treatment of this condition.
About the Authors
Yu. Yu. Garin
Clinic. I.I. Mechnikov North-western State Medical University
Russian Federation
Russian Federation
Sh. M. Asadulaev
Clinic. I.I. Mechnikov North-western State Medical University
Russian Federation
Russian Federation
V. K. Sukhov
Municipal hospital № 2
Russian Federation
Russian Federation
V. Yu. Ryasnyanskiy
Clinic. I.I. Mechnikov North-western State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Garin Yu.Yu., Asadulaev Sh.M., Sukhov V.K., Ryasnyanskiy V.Yu. Central vein stenosis in patients on chronic hemodialysis, from etiology to treatment (Literature review). Nephrology and Dialysis. 2016;18(1):35-39. (In Russ.)
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