Dialysis access in a patient with multiple central venous stenoses

作者:Cui, Tianlei; Zhao, Yuliang; Li, Xiao; Zhou, Li; Liu, Fang*; Fu, Ping
来源:International Urology and Nephrology, 2014, 46(1): 251-254.
DOI:10.1007/s11255-013-0419-x

摘要

We report a female patient, with obstructed right femoral and right brachiocephalic vein, narrowed left femoral vein, left brachiocephalic vein and superior vena cava, due to long-term catheterization for dialysis. Angioplasty and synthesized graft transplant were successfully performed. The new access withstood early cannulation only 3 days after the procedure. Angioplasty can ameliorate existing stenosis and enable permanent access creation, while an artificial graft may provide faster maturation than documented.