SUPERIOR VENA-CAVA STENOSIS ASSOCIATED WITH HEMODIALYSIS CATHETERS

被引：40

作者：

KHANNA, S ^{[1
]}

SNIDERMAN, K ^{[1
]}

SIMONS, M ^{[1
]}

BESLEY, M ^{[1
]}

ULDALL, R ^{[1
]}

机构：

[1] TORONTO HOSP,DIV NEPHROL,TORONTO,ON,CANADA

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 1993年 / 21卷 / 03期

关键词：

SUPERIOR VENA CAVA STENOSIS; HEMODIALYSIS CATHETER; BALLOON ANGIOPLASTY;

D O I：

10.1016/S0272-6386(12)80746-3

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The cases are described of four patients on long-term hemodialysis who developed stenosis of the superior vena cava (SVC) that interfered with the functioning or placement of jugular catheters for hemodialysis. All four patients had previously received multiple subclavian and/or jugular catheters inserted for hemodialysis access. In three patients, the SVC stenosis was successfully dilated by balloon angioplasty, and in one of these a stent was inserted to prevent restenosis. These three patients have subsequently been successfully dialyzed with jugular catheters. Stenosis of the SVC should be suspected when jugular catheters in the SVC give inadequate flows in the absence of thrombotic obstruction. Balloon dilatation with or without vascular stenting may allow satisfactory vascular access to be reestablished. © 1993, National Kidney Foundation, Inc.. All rights reserved.

引用

页码：278 / 281

页数：4

共 10 条

[1] SUPERIOR VENA-CAVAL OBSTRUCTION IN PATIENTS WITH GUT FAILURE RECEIVING HOME PARENTERAL-NUTRITION [J].