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189508

Non-surgical Treatment of Central Venous Occlusion in Haemodialysis Patients

Article

Last updated: 28 Dec 2024

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Abstract

Background: Central venous stenosis (CVS) is often found in patients on hemodialysis. Prior ipsilateral central venous catheterization and cardiac rhythm insertion are major risk factors, however the lack of this history may potentially lead to CVS. Chronic CVS may lead to thrombosis at the point of stenosis with partial or total blockage of the central vein. Objective: To assess in patency, complication rate and death rates the impact of the endovascular repair of central vein blockage following arteriovenous fistula formation. Methods and patients: This potential non-randomized research will be carried out at the Nasr Insurance hospitals vascular chirurgy department. The trial will involve 20 individuals with chronic renal disease and limb edoema after the development of fistula. In accordance with the inclusion criteria listed below, the Ethical Committee shall receive permission. Results: Only 11 patients had balloon angioplasty. There were no immediate difficulties. Six patients with restenosis. One in six patients with PTA with stenting had restenosis. One patient developed recurrence in the stent on diagnostic venography (stenosis). All recurring patients had repeat PTA. Conclusion: Endovascular therapy in individuals who are hemodialysed is an effective and safe approach for the treatment of CVD. Without severe morbidity or death, there is a high technical success rate. Multiple re-interventions for the treatment of restenosis are nonetheless necessary.

DOI

10.21608/bjas.2021.189508

Keywords

Arteriovenous fistula, brachiobasilic transposition

Authors

First Name

H.

Last Name

Rashad

MiddleName

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Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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First Name

M.

Last Name

Abd-Elhakim

MiddleName

-

Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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First Name

H.

Last Name

Salama

MiddleName

-

Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

-

First Name

M.G.

Last Name

Farid

MiddleName

-

Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Volume

6

Article Issue

4

Related Issue

27157

Issue Date

2021-08-01

Receive Date

2021-08-16

Publish Date

2021-08-01

Page Start

31

Page End

36

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_189508.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=189508

Order

6

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Non-surgical Treatment of Central Venous Occlusion in Haemodialysis Patients

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Article

Created At

23 Jan 2023