title: Central Venous Interventions.
abstract: Central venous stenosis or occlusion is a common and vexing problem in patients undergoing hemodialysis. Typical presenting symptoms include arm swelling and prolonged bleeding after hemodialysis. Despite multiple treatment approaches, these stenoses tend to recur and progress over time. A thorough preprocedure evaluation, methodical procedural approach and awareness of potential complications are all essential to try to preserve vascular access and improve patients' quality of life.
authors.affiliation: Dotter Interventional Institute, Oregon Health and Science University, Portland, OR.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Horikawa
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of California, San Diego, San Diego, CA; Dotter Interventional Institute, Oregon Health and Science University, Portland, OR. Electronic address: kbquencer@gmail.com.
authors.forename: Keith B
authors.initials: KB
authors.lastname: Quencer
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D061807:Catheter Obstruction / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D018450:Disease Progression; D057510:Endovascular Procedures / Q000009:adverse effects; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D011788:Quality of Life; D012008:Recurrence; D006435:Renal Dialysis; D012307:Risk Factors; D016896:Treatment Outcome; D056824:Upper Extremity Deep Vein Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
keywords: Central venous occlusion; Central venous stenosis; Sharp recanalization