title: Percutaneous reconstruction of chronic total occlusion of brachiocephalic vein using transseptal needle in dialysis-dependent patient.
abstract: Placement of a dialysis catheter substantially increases the risk of central vein stenosis. 52-year-old female with end-stage renal disease and a right brachial-cephalic hemodialysis access presented with right arm swelling. The chronic total occlusion of right brachiocephalic vein was refractory to wire traversal. Sharp recanalization of the central venous occlusion was done with transseptal needle retrogradely. The track was balloon dilated and stented. When the conventional catheters and guide wires options fail, sharp recanalization technique may be used to salvage a precious dialysis access.
authors: BLK Superspeciality Hospital, Pusa Road, New Delhi, 110005, India. dramitkmalik@gmail.com.
authors: Amit Kumar
authors: AK
authors: Malik
authors: BLK Superspeciality Hospital, Pusa Road, New Delhi, 110005, India.
authors: Neeraj
authors: N
authors: Bhalla
authors: BLK Superspeciality Hospital, Pusa Road, New Delhi, 110005, India.
authors: Ashwani
authors: A
authors: Goel
authors: BLK Superspeciality Hospital, Pusa Road, New Delhi, 110005, India.
authors: Sunil
authors: S
authors: Prakash
mesh_terms: D016121:Brachiocephalic Veins / Q000601:surgery*; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D062905:Central Venous Catheters / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008875:Middle Aged; D009339:Needles; D010690:Phlebography; D006435:Renal Dialysis; D034941:Upper Extremity / Q000098:blood supply*; D014652:Vascular Diseases / Q000628:therapy*; D014654:Vascular Patency
keywords: Brachiocephalic vein; Dialysis; Transseptal needle