Surgical Removal of Endovascular Stent after Migration to the Right Ventricle Following Right Subclavian Vein Deployment for Treatment of Central Venous Stenosis.
10.4250/jcu.2011.19.4.203
- Author:
Wook KANG
1
;
Il Soo KIM
;
Ji Ung KIM
;
Ji Hyun CHEON
;
Seon Kwang KIM
;
Sung Hyun KO
;
Su Hong KIM
;
Sea Won LEE
;
Sung Ho CHO
Author Information
1. Department of Internal Medicine, Busan Veterans Hospital, Busan, Korea. tosca6212@naver.com
- Publication Type:Case Report
- Keywords:
Stent;
Endovascular angioplasty;
Subclavian vein;
Stenosis;
Hemodialysis
- MeSH:
Adult;
Catheterization;
Constriction, Pathologic;
Fistula;
Heart Ventricles;
Humans;
Renal Dialysis;
Stents;
Subclavian Vein;
Thrombosis
- From:Journal of Cardiovascular Ultrasound
2011;19(4):203-206
- CountryRepublic of Korea
- Language:English
-
Abstract:
Central venous stenosis or occlusion occurs in 11-50% of hemodialysis patients with prior subclavian vein cannulation and ipsilateral fistula or shunt. Most patients are asymptomatic but some require treatment to reduce the risk of thrombosis and improve inadequate hemodialysis pressure. In these cases, endovascular intervention, including ballooning and stenting, is a feasible strategy for selected patents. We report an unusual case of a 40-year-old man on hemodialysis that underwent endovascular stenting to treat right subclavian vein stenosis and experienced stent migration to the right ventricle, requiring surgical removal.