Innominate vein occlusion treated by percutaneous transluminal angioplasty with endovascular stent in a hemodialysis patient.
- Author:
Eun Il KIM
1
;
Young Ok KIM
;
Min Jeong KIM
;
Hyeon Jae KIM
;
Sun Ae YOON
;
Ha Hun SONG
;
Yoon Sik CHANG
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Innominate vein occlusion;
Percutaneous transluminal angioplasty;
Endovascular stent;
Hemodialysis
- MeSH:
Angioplasty*;
Arm;
Brachiocephalic Veins*;
Catheterization;
Catheters;
Constriction, Pathologic;
Female;
Headache;
Humans;
Jugular Veins;
Middle Aged;
Phlebography;
Renal Dialysis*;
Stents*;
Subclavian Vein;
Veins
- From:Korean Journal of Medicine
2000;58(4):472-476
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although central vein stenosis associated with vascular access is relatively common in a hemodialysis patient, innominate vein stenosis is very rare. We here report a case of innominate vein occlusion treated successfully by percutaneous transluminal angioplasty with endovascular stent in a hemodialysis patient. A 61-year-old woman on hemodialysis developed progressive swellingof and headache. She had an history of subclavian vein catheterization. Venography disclosed totally obstructed left innominate vein, multiple collaterals and retrograde flow into left internal jugular vein. Percutaneous transluminal angioplasty with endovascular stent was performed. Venography performed after this procedure showed complete resolution of collaterals and no residual stenosis and arm swelling and headache disappeared.
