title: Central vein stenosis in a dialysis patient: a case report.
abstract: BACKGROUND
  Central vein stenosis is not a rare problem in patients on dialysis. Placement of a central vein catheter for dialysis access substantially increases the risk of central vein stenosis. However, even in patients without a previous history of central vein catheter placement, a stenosis can be found in up to 40% of patients.
  
  
  METHODS
  We report the case of a 60-year-old male Caucasian German dialysis patient who complained of dry cough, swelling of his right arm and facial edema. Computed tomography venography showed a near-total stenosis of his brachiocephalic vein. We discuss the incidence and risk of central vein stenosis in patients on dialysis and report on a successful minimally invasive interventional treatment.
  
  
  CONCLUSIONS
  Central vein stenosis is not a rare problem in patients on hemodialysis and can even occur without previous placement of central venous catheters. High shunt volumes seem to increase the risk associated with central vein catheters.
authors: 5th Department of Medicine (Nephrology/Endocrinology/Rheumatology), University Hospital Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, D-68135, Mannheim, Germany. uwe.goettmann@umm.de.
authors: Uwe
authors: U
authors: Gottmann
authors: Maliha
authors: M
authors: Sadick
authors: Kathrin
authors: K
authors: Kleinhuber
authors: Urs
authors: U
authors: Benck
authors: Kurt
authors: K
authors: Huck
authors: Bernhard K
authors: BK
authors: Krämer
authors: Rainer
authors: R
authors: Birck