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Central venous stenosis in dialysis patients

"This review summarizes the incidence, pathophysiology, indications/contraindications, and management options of CVOs in the ESKD on HD population" Tabriz and Arslan (2022).

"This review summarizes the incidence, pathophysiology, indications/contraindications, and management options of CVOs in the ESKD on HD population" Tabriz and Arslan (2022).

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Central venous stenosis in dialysis patients

Abstract:

Central venous occlusions (CVOs) of the major intrathoracic veins (jugular, subclavian, brachiocephalic, superior vena cava) can cause debilitating symptoms, negatively impact arteriovenous fistula/graft function, or limit potential access creation options in end-stage kidney disease (ESKD) utilizing hemodialysis (HD). This review summarizes the incidence, pathophysiology, indications/contraindications, and management options of CVOs in the ESKD on HD population and concludes with considerations and examples when planning endovascular central recanalization procedures, which have risen as the first-line management when appropriate.


Reference:

Tabriz DM, Arslan B. Management of Central Venous Stenosis and Occlusion in Dialysis Patients. Semin Intervent Radiol. 2022 Feb 18;39(1):51-55. doi: 10.1055/s-0041-1742152. PMID: 35210733; PMCID: PMC8856783.

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