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Vol 27, No 1 (2021)
Research paper
Published online: 2021-06-01

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Primary Patency Rates of Endovascular Interventions in Hemodialysis Patients with Central Venous Stenosis and Occlusions

Mehmet Burak Çildağ1, Veli Süha Öztürk1, Recep Özgür1, Ömer Faruk Kutsi Köseoğlu1
Acta Angiologica 2021;27(1):17-21.


Background: The purpose of this study was to determine the primary patency rate of endovascular interventions in hemodialysis patients who had central venous stenosis or occlusion. Material and Methods: Twenty-seven hemodialysis patients, who underwent endovascular intervention between January 2013 and January 2018 for central venous stenosis or total obstruction, were included in the study. Endovascular interventions consisted of percutaneous transluminal angioplasty (PTA) or stent implantation. Primary patency rate of endovascular intervention at the sixth and twelfth months were evaluated. Results: Stent implantation and PTA were used in 5 patients and 22 patients, respectively. 14 patients had stenosis and 13 patients had occlusion. The total procedural success rate was 81%, 86% in stenosis and 77% in occlusion. There was no procedure-related complication. The primary patency for PTA at 6 and 12 months were 40% and 10%, respectively. For stent implantation, primary patency rate at 6 and 12 months was 70% and 30%, respectively. Conclusion: Endovascular interventions for central venous stenosis and occlusion are safe, with low rates of technical failure and they can be first-line treatment for central venous stenosis or occlusion in hemodialysis patients.

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  1. Surowiec SM, Fegley AJ, Tanski WJ, et al. Endovascular management of central venous stenoses in the hemodialysis patient: results of percutaneous therapy. Vasc Endovascular Surg. 2004; 38(4): 349–354.
  2. Bakken AM, Protack CD, Saad WE, et al. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007; 45(4): 776–783.
  3. Quinn SF, Schuman ES, Demlow TA, et al. Percutaneous transluminal angioplasty versus endovascular stent placement in the treatment of venous stenoses in patients undergoing hemodialysis: intermediate results. J Vasc Interv Radiol. 1995; 6(6): 851–855.
  4. III. NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: Update 2000. American Journal of Kidney Diseases. 2001; 37(1): S137–S181.
  5. Vascular Access Work Group, Vascular Access 2006 Work Group. Clinical practice guidelines for vascular access. Am J Kidney Dis. 2006; 48 Suppl 1: S176–S247.
  6. Mickley V. Central vein obstruction in vascular access. Eur J Vasc Endovasc Surg. 2006; 32(4): 439–444.
  7. Wooster M, Fernandez B, Summers KL, et al. Surgical and endovascular central venous reconstruction combined with thoracic outlet decompression in highly symptomatic patients. J Vasc Surg Venous Lymphat Disord. 2019; 7(1): 106–112.e3.
  8. Kaba E, Özkan B, Özyurtkan MO, et al. Superior vena cava resection and reconstruction in mediastinal tumors and benign diseases. Turk Gogus Kalp Damar Cerrahisi Derg. 2018; 26(1): 99–107.
  9. Chang CJ, Ko PJ, Hsu LA, et al. Highly increased cell proliferation activity in the restenotic hemodialysis vascular access after percutaneous transluminal angioplasty: implication in prevention of restenosis. Am J Kidney Dis. 2004; 43(1): 74–84.
  10. Yadav MK, Sharma M, Lal A, et al. Endovascular treatment of central venous obstruction as a complication of prolonged hemodialysis - Preliminary experience in a tertiary care center. Indian J Radiol Imaging. 2015; 25(4): 368–374.
  11. Aj A, Razak Uk A, R P, et al. Percutaneous intervention for symptomatic central vein stenosis in patients with upper limb arteriovenous dialysis access. Indian Heart J. 2018; 70(5): 690–698.
  12. Dammers R, de Haan MW, Planken NR, et al. Central vein obstruction in hemodialysis patients: results of radiological and surgical intervention. Eur J Vasc Endovasc Surg. 2003; 26(3): 317–321.
  13. Nael K, Kee ST, Solomon H, et al. Endovascular management of central thoracic veno-occlusive diseases in hemodialysis patients: a single institutional experience in 69 consecutive patients. J Vasc Interv Radiol. 2009; 20(1): 46–51.
  14. Haage P, Vorwerk D, Piroth W, et al. Treatment of hemodialysis-related central venous stenosis or occlusion: results of primary Wallstent placement and follow-up in 50 patients. Radiology. 1999; 212(1): 175–180.
  15. Chen CY, Liang HL, Pan HB, et al. Metallic stenting for treatment of central venous obstruction in hemodialysis patients. J Chin Med Assoc. 2003; 66(3): 166–172.
  16. Vorwerk D, Guenther RW, Mann H, et al. Venous stenosis and occlusion in hemodialysis shunts: follow-up results of stent placement in 65 patients. Radiology. 1995; 195(1): 140–146.
  17. Sfyroeras GS, Antonopoulos CN, Mantas G, et al. A Review of Open and Endovascular Treatment of Superior Vena Cava Syndrome of Benign Aetiology. Eur J Vasc Endovasc Surg. 2017; 53(2): 238–254.