Hemodialysis catheter-associated central venous stenosis.
The purpose of this review is to explore the pathophysiology, epidemiology, and interventional treatment of central vein stenosis (CVS) that may result from central vein catheter (CVC) placement. The precise mechanism of CVC-associated CVS remains largely undefined, though anatomic considerations appear to play a prominent pathologic role. The impact of CVC-associated CVS on arteriovenous fistula outcomes is reviewed. The percutaneous treatment of CVS, observation, angioplasty, or angioplasty with stent placement is reviewed, along with potential surgical treatment options. As the treatment outcomes of CVC-associated CVS have been disappointing, catheter avoidance remains the best strategy.
Yevzlin
Alexander S
AS
Section of Nephrology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53717, USA. asy@medicine.wisc.edu
D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation*; D003251:Constriction, Pathologic / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D006801:Humans; D006435:Renal Dialysis / Q000295:instrumentation*; D014652:Vascular Diseases / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D014680:Veins / Q000473:pathology*