title: Dialysis access in a patient with multiple central venous stenoses.
abstract: We report a female patient, with obstructed right femoral and right brachiocephalic vein, narrowed left femoral vein, left brachiocephalic vein and superior vena cava, due to long-term catheterization for dialysis. Angioplasty and synthesized graft transplant were successfully performed. The new access withstood early cannulation only 3 days after the procedure. Angioplasty can ameliorate existing stenosis and enable permanent access creation, while an artificial graft may provide faster maturation than documented.
authors.affiliation: Department of Nephrology, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu, 610041, Sichuan Province, China, tianleicui@163.com.
authors.forename: Tianlei
authors.initials: T
authors.lastname: Cui
authors.forename: Yuliang
authors.initials: Y
authors.lastname: Zhao
authors.forename: Xiao
authors.initials: X
authors.lastname: Li
authors.forename: Li
authors.initials: L
authors.lastname: Zhou
authors.forename: Fang
authors.initials: F
authors.lastname: Liu
authors.forename: Ping
authors.initials: P
authors.lastname: Fu
mesh_terms: D000800:Angioplasty, Balloon; D016121:Brachiocephalic Veins; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D005260:Female; D005268:Femoral Vein; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000209:etiology* / Q000628:therapy; D006435:Renal Dialysis / Q000009:adverse effects*; D058017:Vascular Grafting; D014654:Vascular Patency