[Surgery of vascular access for hemodialysis and central venous stenosis].
Central venous stenosis is a complication of central vein catheter insertion through the internal jugular or the femoral vein in haemodialysed patients with non-functioning arteriovenous angio-access. The frequent complication is important limb swelling after subsequent creation of upstream arteriovenous fistula or graft. Closure of the fistula may be necessary, especially if creation of a new access is possible on the opposite limb. Surgical conservative treatment may be indicated. Percutaneous transluminal angioplasty is used first with good short-term results. Prevention of central venous stenosis by infrequent use of central venous catheter is of the utmost importance.
Bourquelot
P
P
Clinique Jouvenet, Paris. pbourquelot@magic.fr
Stolba
J
J
D000800:Angioplasty, Balloon; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D006801:Humans; D006435:Renal Dialysis; D014652:Vascular Diseases / Q000209:etiology* / Q000601:surgery*; D014680:Veins